Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,151.38 / $10,061.00 / $20,509.00	Facility		$2,151.38	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,931.12 / $2,347.34 / $11,592.00	Professional		$1,931.12	$2,347.34	$11,592.00
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 $2,895.36 / $4,095.16 / $7,656.96	Professional		$2,895.36	$4,095.16	$7,656.96
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 $1,709.41 / $2,627.77 / $5,753.77	Professional		$1,709.41	$2,627.77	$5,753.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,203.39 / $2,783.43 / $6,577.31	Professional		$2,203.39	$2,783.43	$6,577.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.05 / $2,308.05 / $3,000.47	Professional		$1,854.05	$2,308.05	$3,000.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.25 / $2,661.54 / $4,750.00	Professional		$2,077.25	$2,661.54	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $54,030.86 / $66,744.08	Facility		$55.00	$54,030.86	$66,744.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,267.00 / $23,267.00 / $23,267.00	Professional		$23,267.00	$23,267.00	$23,267.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,217.94 / $2,942.13 / $4,500.00	Facility		$2,217.94	$2,942.13	$4,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,217.94 / $2,754.24 / $6,394.26	Professional		$2,217.94	$2,754.24	$6,394.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,192.61 / $7,192.61 / $7,192.61	Professional		$7,192.61	$7,192.61	$7,192.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,854.05 / $2,556.14 / $3,507.17	Professional		$1,854.05	$2,556.14	$3,507.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,372.00 / $20,279.00	Facility		$2,047.00	$5,372.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,914.01 / $2,639.99 / $6,079.59	Professional		$1,914.01	$2,639.99	$6,079.59