Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,302.39 / $10,061.00 / $20,509.00	Facility		$2,302.39	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.87 / $2,524.10 / $10,410.62	Professional		$2,052.87	$2,524.10	$10,410.62
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 $2,992.46 / $4,255.30 / $7,930.52	Professional		$2,992.46	$4,255.30	$7,930.52
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 $1,752.70 / $2,696.22 / $5,903.64	Professional		$1,752.70	$2,696.22	$5,903.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,306.60 / $2,872.26 / $6,786.03	Professional		$2,306.60	$2,872.26	$6,786.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,985.85 / $2,397.58 / $3,116.85	Professional		$1,985.85	$2,397.58	$3,116.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,157.82 / $2,758.82 / $5,057.84	Professional		$2,157.82	$2,758.82	$5,057.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55,867.50 / $69,035.98	Facility		$55.00	$55,867.50	$69,035.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,568.00 / $27,409.13 / $27,409.13	Professional		$25,568.00	$27,409.13	$27,409.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,299.02 / $3,017.61 / $4,893.45	Facility		$2,299.02	$3,017.61	$4,893.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,306.60 / $2,862.58 / $6,576.80	Professional		$2,306.60	$2,862.58	$6,576.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,425.28 / $7,425.28 / $7,425.28	Professional		$7,425.28	$7,425.28	$7,425.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,985.85 / $2,655.50 / $3,756.47	Professional		$1,985.85	$2,655.50	$3,756.47
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 $2,018.24 / $2,771.89 / $6,085.52	Professional		$2,018.24	$2,771.89	$6,085.52