Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,084.60 / $10,061.00 / $20,509.00	Facility		$2,084.60	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,898.57 / $2,084.60 / $10,772.90	Professional		$1,898.57	$2,084.60	$10,772.90
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 $2,819.67 / $3,851.19 / $7,135.70	Professional		$2,819.67	$3,851.19	$7,135.70
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 $1,593.45 / $2,450.34 / $5,365.26	Professional		$1,593.45	$2,450.34	$5,365.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,080.69 / $2,586.76 / $6,120.36	Professional		$2,080.69	$2,586.76	$6,120.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,706.25 / $2,141.60 / $2,784.08	Professional		$1,706.25	$2,141.60	$2,784.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,927.44 / $2,471.14 / $4,541.12	Professional		$1,927.44	$2,471.14	$4,541.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $50,199.76 / $61,985.56	Facility		$55.00	$50,199.76	$61,985.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,205.00 / $24,205.00 / $24,205.00	Professional		$24,205.00	$24,205.00	$24,205.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,059.28 / $2,775.96 / $4,473.47	Facility		$2,059.28	$2,775.96	$4,473.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,080.69 / $2,559.86 / $5,874.51	Professional		$2,080.69	$2,559.86	$5,874.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,684.40 / $6,684.40 / $6,684.40	Professional		$6,684.40	$6,684.40	$6,684.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,706.25 / $2,371.75 / $3,227.58	Professional		$1,706.25	$2,371.75	$3,227.58
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 $1,779.45 / $2,502.62 / $6,017.04	Professional		$1,779.45	$2,502.62	$6,017.04