Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,953.64 / $10,061.00 / $20,509.00	Facility		$1,953.64	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,779.01 / $1,953.64 / $7,734.37	Professional		$1,779.01	$1,953.64	$7,734.37
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 $2,589.48 / $3,580.40 / $6,678.62	Professional		$2,589.48	$3,580.40	$6,678.62
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 $1,484.80 / $2,281.86 / $5,005.04	Professional		$1,484.80	$2,281.86	$5,005.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.91 / $2,435.76 / $6,016.33	Professional		$1,991.91	$2,435.76	$6,016.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,057.32 / $2,777.38	Professional		$1,861.50	$2,057.32	$2,777.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,851.59 / $2,363.09 / $4,731.00	Professional		$1,851.59	$2,363.09	$4,731.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $47,755.76 / $58,995.56	Facility		$55.00	$47,755.76	$58,995.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,029.00 / $20,556.45 / $20,556.45	Professional		$20,029.00	$20,556.45	$20,556.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,969.24 / $2,591.44 / $3,802.04	Facility		$1,969.24	$2,591.44	$3,802.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,969.24 / $2,411.44 / $5,547.83	Professional		$1,969.24	$2,411.44	$5,547.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,341.27 / $6,341.27 / $6,341.27	Professional		$6,341.27	$6,341.27	$6,341.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,347.50 / $3,521.25	Professional		$1,861.50	$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 $1,683.75 / $2,322.39 / $5,596.18	Professional		$1,683.75	$2,322.39	$5,596.18