Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.04 / $10,051.00 / $20,509.00	Facility		$1,944.04	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,767.18 / $2,016.97 / $9,934.04	Professional		$1,767.18	$2,016.97	$9,934.04
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 $2,589.50 / $3,586.58 / $6,584.59	Professional		$2,589.50	$3,586.58	$6,584.59
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 $1,485.81 / $2,285.52 / $4,988.49	Professional		$1,485.81	$2,285.52	$4,988.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.64 / $2,385.34 / $5,799.88	Professional		$1,929.64	$2,385.34	$5,799.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $1,986.45 / $2,681.71	Professional		$1,861.50	$1,986.45	$2,681.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,787.81 / $2,286.89 / $4,731.00	Professional		$1,787.81	$2,286.89	$4,731.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,336.16 / $57,231.98	Facility		$55.00	$46,336.16	$57,231.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,881.00 / $22,284.20 / $22,284.20	Professional		$20,881.00	$22,284.20	$22,284.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.74 / $2,563.11 / $4,148.72	Facility		$1,905.74	$2,563.11	$4,148.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,929.64 / $2,382.71 / $5,361.83	Professional		$1,929.64	$2,382.71	$5,361.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,163.91 / $6,163.91 / $6,163.91	Professional		$6,163.91	$6,163.91	$6,163.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,848.68 / $2,347.50 / $3,521.25	Professional		$1,848.68	$2,347.50	$3,521.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,372.00 / $20,279.00	Facility		$2,047.00	$5,372.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,638.80 / $2,260.39 / $4,886.13	Professional		$1,638.80	$2,260.39	$4,886.13