Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,711.27 / $10,051.00 / $20,509.00	Facility		$1,711.27	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,524.12 / $1,768.71 / $9,954.42	Professional		$1,524.12	$1,768.71	$9,954.42
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 $2,220.08 / $3,290.81 / $6,101.18	Professional		$2,220.08	$3,290.81	$6,101.18
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 $1,371.37 / $2,109.44 / $4,700.28	Professional		$1,371.37	$2,109.44	$4,700.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,858.92 / $2,332.76 / $5,658.86	Professional		$1,858.92	$2,332.76	$5,658.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $1,977.35 / $2,669.42	Professional		$1,861.50	$1,977.35	$2,669.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,779.62 / $2,282.39 / $4,731.00	Professional		$1,779.62	$2,282.39	$4,731.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,384.52 / $57,268.64	Facility		$55.00	$46,384.52	$57,268.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,750.00 / $19,208.08 / $19,208.08	Professional		$18,750.00	$19,208.08	$19,208.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,898.23 / $2,471.69 / $3,685.59	Facility		$1,898.23	$2,471.69	$3,685.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,869.15 / $2,314.12 / $5,440.95	Professional		$1,869.15	$2,314.12	$5,440.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,176.53 / $6,176.53 / $6,176.53	Professional		$6,176.53	$6,176.53	$6,176.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,844.82 / $2,347.50 / $3,521.25	Professional		$1,844.82	$2,347.50	$3,521.25
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 $1,644.02 / $2,210.90 / $5,059.35	Professional		$1,644.02	$2,210.90	$5,059.35