Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,933.28 / $10,061.00 / $20,509.00	Facility		$1,933.28	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,740.92 / $1,933.28 / $10,701.40	Professional		$1,740.92	$1,933.28	$10,701.40
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 $2,922.53 / $4,000.18 / $7,301.19	Professional		$2,922.53	$4,000.18	$7,301.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,506.19 / $2,286.53 / $5,094.85	Professional		$1,506.19	$2,286.53	$5,094.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.77 / $2,603.73 / $6,200.84	Professional		$2,095.77	$2,603.73	$6,200.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.53 / $2,136.26 / $2,777.14	Professional		$1,995.53	$2,136.26	$2,777.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,922.63 / $2,461.12 / $4,523.88	Professional		$1,922.63	$2,461.12	$4,523.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $49,908.82 / $61,629.36	Facility		$55.00	$49,908.82	$61,629.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,413.43 / $19,413.43 / $19,413.43	Professional		$19,413.43	$19,413.43	$19,413.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,989.42 / $2,545.46 / $3,603.47	Facility		$1,989.42	$2,545.46	$3,603.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,107.48 / $2,615.91 / $5,929.83	Professional		$2,107.48	$2,615.91	$5,929.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,639.99 / $6,639.99 / $6,639.99	Professional		$6,639.99	$6,639.99	$6,639.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,935.79 / $2,365.96 / $3,392.40	Professional		$1,935.79	$2,365.96	$3,392.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,766.11 / $2,496.90 / $5,856.74	Professional		$1,766.11	$2,496.90	$5,856.74