Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,048.00 / $10,061.00 / $20,509.00	Facility		$2,048.00	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,894.08 / $2,048.00 / $11,725.50	Professional		$1,894.08	$2,048.00	$11,725.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $12,800.00 / $24,456.00	Facility		$5,540.00	$12,800.00	$24,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,993.28 / $4,321.24 / $8,308.32	Professional		$2,993.28	$4,321.24	$8,308.32
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 $363.84 / $519.77 / $1,299.68	Professional		$363.84	$519.77	$1,299.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,284.25 / $2,877.58 / $7,397.59	Professional		$2,284.25	$2,877.58	$7,397.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,274.15 / $2,501.57 / $2,956.40	Professional		$2,274.15	$2,501.57	$2,956.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,046.74 / $2,623.46 / $4,731.00	Professional		$2,046.74	$2,623.46	$4,731.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $43,545.60 / $53,785.20	Facility		$55.00	$43,545.60	$53,785.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,715.36 / $16,112.08 / $19,052.48	Professional		$15,715.36	$16,112.08	$19,052.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,135.46 / $2,699.83 / $3,651.82	Facility		$2,135.46	$2,699.83	$3,651.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,284.25 / $2,918.77 / $6,528.66	Professional		$2,284.25	$2,918.77	$6,528.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,275.45 / $7,275.45 / $7,275.45	Professional		$7,275.45	$7,275.45	$7,275.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,831.61 / $2,135.46 / $2,518.46	Professional		$1,831.61	$2,135.46	$2,518.46
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 $1,935.85 / $3,218.40 / $6,408.16	Professional		$1,935.85	$3,218.40	$6,408.16