Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,099.00 / $10,061.00 / $20,509.00	Facility		$2,099.00	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,898.01 / $2,099.00 / $10,346.40	Professional		$1,898.01	$2,099.00	$10,346.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $29,600.00	Facility		$4,204.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,942.91 / $3,685.77 / $6,855.61	Professional		$2,942.91	$3,685.77	$6,855.61
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 $1,360.07 / $2,091.16 / $4,659.52	Professional		$1,360.07	$2,091.16	$4,659.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,998.15 / $2,517.67 / $6,098.59	Professional		$1,998.15	$2,517.67	$6,098.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,750.18 / $2,067.12 / $2,625.27	Professional		$1,750.18	$2,067.12	$2,625.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,860.41 / $2,380.61 / $4,376.21	Professional		$1,860.41	$2,380.61	$4,376.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $48,254.70 / $59,600.84	Facility		$55.00	$48,254.70	$59,600.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,741.21 / $18,741.21 / $18,741.21	Professional		$18,741.21	$18,741.21	$18,741.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,964.63 / $2,530.17 / $3,351.04	Facility		$1,964.63	$2,530.17	$3,351.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,983.84 / $2,517.67 / $5,618.76	Professional		$1,983.84	$2,517.67	$5,618.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,419.75 / $6,419.75 / $6,419.75	Professional		$6,419.75	$6,419.75	$6,419.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,750.18 / $2,275.23 / $2,975.31	Professional		$1,750.18	$2,275.23	$2,975.31
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 $1,706.95 / $2,413.25 / $5,780.87	Professional		$1,706.95	$2,413.25	$5,780.87