Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.21 / $10,051.00 / $20,509.00	Facility		$2,052.21	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,872.52 / $2,052.21 / $9,817.87	Professional		$1,872.52	$2,052.21	$9,817.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,043.00 / $8,981.00 / $18,903.00	Facility		$4,043.00	$8,981.00	$18,903.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,549.04 / $3,620.51 / $6,545.88	Professional		$2,549.04	$3,620.51	$6,545.88
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 $1,551.52 / $2,382.46 / $5,092.22	Professional		$1,551.52	$2,382.46	$5,092.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.61 / $2,444.25 / $6,096.53	Professional		$1,980.61	$2,444.25	$6,096.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.82 / $1,552.17 / $2,328.26	Professional		$1,230.82	$1,552.17	$2,328.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,711.47 / $2,230.27 / $4,086.48	Professional		$1,711.47	$2,230.27	$4,086.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,400.80 / $34,911.04	Facility		$55.00	$28,400.80	$34,911.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,339.36 / $13,687.76 / $16,359.30	Professional		$13,339.36	$13,687.76	$16,359.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,893.98 / $2,519.40 / $3,228.03	Facility		$1,893.98	$2,519.40	$3,228.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,958.48 / $2,438.34 / $5,515.04	Professional		$1,958.48	$2,438.34	$5,515.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,091.80 / $6,091.80 / $6,091.80	Professional		$6,091.80	$6,091.80	$6,091.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.82 / $1,801.26 / $2,328.25	Professional		$1,230.82	$1,801.26	$2,328.25
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 $1,642.57 / $2,336.86 / $5,355.94	Professional		$1,642.57	$2,336.86	$5,355.94