Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,750.88 / $10,051.00 / $20,509.00	Facility		$1,750.88	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,572.20 / $1,750.88 / $9,643.62	Professional		$1,572.20	$1,750.88	$9,643.62
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 $2,422.29 / $3,462.31 / $6,392.52	Professional		$2,422.29	$3,462.31	$6,392.52
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 $1,516.02 / $2,335.62 / $5,028.35	Professional		$1,516.02	$2,335.62	$5,028.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,881.92 / $2,315.61 / $5,460.91	Professional		$1,881.92	$2,315.61	$5,460.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,935.64 / $1,939.68 / $2,613.11	Professional		$1,935.64	$1,939.68	$2,613.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,742.08 / $2,224.67 / $4,090.97	Professional		$1,742.08	$2,224.67	$4,090.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $44,990.14 / $55,592.68	Facility		$55.00	$44,990.14	$55,592.68
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 $1,853.89 / $2,503.76 / $4,049.71	Facility		$1,853.89	$2,503.76	$4,049.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,881.92 / $2,315.61 / $5,290.38	Professional		$1,881.92	$2,315.61	$5,290.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,983.69 / $5,983.69 / $5,983.69	Professional		$5,983.69	$5,983.69	$5,983.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,798.48 / $2,446.10 / $3,669.14	Professional		$1,798.48	$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 $1,589.21 / $2,232.98 / $4,778.49	Professional		$1,589.21	$2,232.98	$4,778.49