Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,900.61 / $10,051.00 / $20,509.00	Facility		$1,900.61	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.40 / $2,030.39 / $7,533.93	Professional		$1,728.40	$2,030.39	$7,533.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,629.96 / $3,515.48 / $6,456.45	Professional		$2,629.96	$3,515.48	$6,456.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,295.97 / $1,992.51 / $4,439.71	Professional		$1,295.97	$1,992.51	$4,439.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,853.72 / $2,335.69 / $5,689.09	Professional		$1,853.72	$2,335.69	$5,689.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,740.87 / $1,949.63 / $2,611.31	Professional		$1,740.87	$1,949.63	$2,611.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,754.67 / $2,244.21 / $4,125.78	Professional		$1,754.67	$2,244.21	$4,125.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,466.46 / $56,144.92	Facility		$55.00	$45,466.46	$56,144.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,602.00 / $19,602.00 / $19,602.00	Professional		$19,602.00	$19,602.00	$19,602.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,856.30 / $2,502.52 / $3,750.00	Facility		$1,856.30	$2,502.52	$3,750.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,851.61 / $2,330.42 / $5,293.00	Professional		$1,851.61	$2,330.42	$5,293.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,045.37 / $6,045.37 / $6,045.37	Professional		$6,045.37	$6,045.37	$6,045.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,740.87 / $2,195.38 / $3,293.07	Professional		$1,740.87	$2,195.38	$3,293.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,607.19 / $2,307.83 / $5,444.28	Professional		$1,607.19	$2,307.83	$5,444.28