Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.14 / $10,061.00 / $20,509.00	Facility		$2,337.14	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,087.23 / $2,337.14 / $12,044.80	Professional		$2,087.23	$2,337.14	$12,044.80
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 $3,156.53 / $4,354.38 / $8,001.73	Professional		$3,156.53	$4,354.38	$8,001.73
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 $1,815.16 / $2,775.44 / $6,046.75	Professional		$1,815.16	$2,775.44	$6,046.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,318.73 / $2,892.16 / $6,850.03	Professional		$2,318.73	$2,892.16	$6,850.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,099.77 / $2,390.82 / $3,149.66	Professional		$2,099.77	$2,390.82	$3,149.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,151.73 / $2,761.20 / $4,750.00	Professional		$2,151.73	$2,761.20	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $56,152.46 / $69,314.44	Facility		$55.00	$56,152.46	$69,314.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,682.00 / $32,890.94 / $32,890.94	Professional		$30,682.00	$32,890.94	$32,890.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,301.00 / $3,130.29 / $4,985.27	Facility		$2,301.00	$3,130.29	$4,985.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,318.73 / $2,867.41 / $6,560.20	Professional		$2,318.73	$2,867.41	$6,560.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,473.60 / $7,473.60 / $7,473.60	Professional		$7,473.60	$7,473.60	$7,473.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,099.77 / $2,647.98 / $3,971.97	Professional		$2,099.77	$2,647.98	$3,971.97
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 $1,990.28 / $2,813.83 / $6,588.46	Professional		$1,990.28	$2,813.83	$6,588.46