Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,923.80 / $10,051.00 / $20,509.00	Facility		$1,923.80	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,708.00 / $1,880.15 / $7,793.86	Professional		$1,708.00	$1,880.15	$7,793.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,509.19 / $3,519.89 / $6,434.54	Professional		$2,509.19	$3,519.89	$6,434.54
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 $1,437.94 / $2,203.48 / $4,824.76	Professional		$1,437.94	$2,203.48	$4,824.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,889.07 / $2,364.15 / $5,702.89	Professional		$1,889.07	$2,364.15	$5,702.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,728.22 / $1,902.04 / $2,567.75	Professional		$1,728.22	$1,902.04	$2,567.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.84 / $2,217.23 / $4,073.34	Professional		$1,711.84	$2,217.23	$4,073.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,168.48 / $34,537.92	Facility		$55.00	$28,168.48	$34,537.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,242.08 / $13,540.88 / $16,230.45	Professional		$13,242.08	$13,540.88	$16,230.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,870.11 / $2,521.53 / $3,287.72	Facility		$1,870.11	$2,521.53	$3,287.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,877.25 / $2,346.33 / $5,456.61	Professional		$1,877.25	$2,346.33	$5,456.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,042.55 / $6,042.55 / $6,042.55	Professional		$6,042.55	$6,042.55	$6,042.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,728.22 / $2,179.42 / $3,269.13	Professional		$1,728.22	$2,179.42	$3,269.13
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 $1,585.20 / $2,297.64 / $4,937.57	Professional		$1,585.20	$2,297.64	$4,937.57