Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.36 / $10,051.00 / $20,509.00	Facility		$1,928.36	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.10 / $1,928.36 / $9,996.45	Professional		$1,712.10	$1,928.36	$9,996.45
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 $2,493.09 / $3,563.50 / $6,630.39	Professional		$2,493.09	$3,563.50	$6,630.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,529.36 / $2,352.71 / $5,065.17	Professional		$1,529.36	$2,352.71	$5,065.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,930.77 / $2,400.34 / $5,653.13	Professional		$1,930.77	$2,400.34	$5,653.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,939.68 / $2,026.77 / $2,736.14	Professional		$1,939.68	$2,026.77	$2,736.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,818.58 / $2,321.12 / $4,271.08	Professional		$1,818.58	$2,321.12	$4,271.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,746.96 / $57,785.52	Facility		$55.00	$46,746.96	$57,785.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,568.00 / $25,568.00 / $25,568.00	Professional		$25,568.00	$25,568.00	$25,568.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,934.27 / $2,595.29 / $4,141.97	Facility		$1,934.27	$2,595.29	$4,141.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,930.77 / $2,392.75 / $5,406.93	Professional		$1,930.77	$2,392.75	$5,406.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,202.62 / $6,202.62 / $6,202.62	Professional		$6,202.62	$6,202.62	$6,202.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,876.77 / $2,446.10 / $3,669.14	Professional		$1,876.77	$2,446.10	$3,669.14
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 $1,644.60 / $2,268.39 / $6,926.24	Professional		$1,644.60	$2,268.39	$6,926.24