Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,263.96 / $10,061.00 / $20,509.00	Facility		$2,263.96	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,069.66 / $2,263.96 / $11,313.10	Professional		$2,069.66	$2,263.96	$11,313.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,738.00 / $11,770.00 / $22,895.00	Facility		$3,738.00	$11,770.00	$22,895.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,773.11 / $4,013.51 / $7,477.92	Professional		$2,773.11	$4,013.51	$7,477.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,726.98 / $2,652.04 / $5,709.58	Professional		$1,726.98	$2,652.04	$5,709.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,235.04 / $2,749.20 / $6,790.53	Professional		$2,235.04	$2,749.20	$6,790.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,675.35 / $2,109.69 / $2,742.60	Professional		$1,675.35	$2,109.69	$2,742.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,898.72 / $2,475.96 / $4,536.21	Professional		$1,898.72	$2,475.96	$4,536.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,552.64 / $39,690.24	Facility		$55.00	$31,552.64	$39,690.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,818.64 / $15,560.08 / $18,172.95	Professional		$14,818.64	$15,560.08	$18,172.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,154.51 / $2,759.48 / $3,675.00	Facility		$2,154.51	$2,759.48	$3,675.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,189.91 / $2,717.39 / $6,332.94	Professional		$2,189.91	$2,717.39	$6,332.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,019.55 / $7,019.55 / $7,019.55	Professional		$7,019.55	$7,019.55	$7,019.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,675.35 / $2,334.94 / $3,169.13	Professional		$1,675.35	$2,334.94	$3,169.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,940.00 / $6,395.00 / $18,709.00	Facility		$1,940.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,886.17 / $2,666.64 / $5,920.22	Professional		$1,886.17	$2,666.64	$5,920.22