Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.11 / $10,028.50 / $20,509.00	Facility		$1,935.11	$10,028.50	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,770.16 / $1,935.11 / $9,524.45	Professional		$1,770.16	$1,935.11	$9,524.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,216.00 / $21,514.00	Facility		$3,612.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,466.10 / $3,557.20 / $6,431.41	Professional		$2,466.10	$3,557.20	$6,431.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,491.08 / $2,288.38 / $4,926.64	Professional		$1,491.08	$2,288.38	$4,926.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,934.92 / $2,434.11 / $6,011.69	Professional		$1,934.92	$2,434.11	$6,011.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,715.56 / $1,845.37 / $2,491.25	Professional		$1,715.56	$1,845.37	$2,491.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,660.83 / $2,163.17 / $3,964.54	Professional		$1,660.83	$2,163.17	$3,964.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,539.52 / $33,860.48	Facility		$55.00	$27,539.52	$33,860.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,938.16 / $13,276.16 / $15,861.83	Professional		$12,938.16	$13,276.16	$15,861.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,836.27 / $2,360.58 / $3,224.30	Facility		$1,836.27	$2,360.58	$3,224.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,920.08 / $2,434.11 / $5,602.46	Professional		$1,920.08	$2,434.11	$5,602.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,909.75 / $5,909.75 / $5,909.75	Professional		$5,909.75	$5,909.75	$5,909.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,715.56 / $2,163.46 / $3,245.18	Professional		$1,715.56	$2,163.46	$3,245.18
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 $1,593.56 / $2,285.14 / $4,940.62	Professional		$1,593.56	$2,285.14	$4,940.62