Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.11 / $10,061.00 / $20,509.00	Facility		$2,115.11	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,784.99 / $2,115.11 / $10,429.60	Professional		$1,784.99	$2,115.11	$10,429.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,825.00 / $22,417.00	Facility		$3,612.00	$11,825.00	$22,417.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,053.63 / $2,651.78 / $5,666.17	Professional		$2,053.63	$2,651.78	$5,666.17
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 $989.22 / $1,519.76 / $3,731.51	Professional		$989.22	$1,519.76	$3,731.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,721.86 / $2,482.02 / $6,877.46	Professional		$1,721.86	$2,482.02	$6,877.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,690.20 / $2,740.48	Professional		$1,116.90	$1,690.20	$2,740.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,053.33 / $2,678.95 / $6,097.56	Professional		$2,053.33	$2,678.95	$6,097.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,057.85 / $26,061.64	Facility		$55.00	$21,057.85	$26,061.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,727.30 / $20,776.70 / $21,607.76	Professional		$17,727.30	$20,776.70	$21,607.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,933.00 / $2,547.88 / $3,633.75	Facility		$1,933.00	$2,547.88	$3,633.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,771.91 / $2,545.29 / $5,693.22	Professional		$1,771.91	$2,545.29	$5,693.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,471.36 / $6,471.36 / $6,471.36	Professional		$6,471.36	$6,471.36	$6,471.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,116.90 / $1,898.73 / $2,531.94	Professional		$1,116.90	$1,898.73	$2,531.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,637.17 / $2,455.73 / $6,727.55	Professional		$1,637.17	$2,455.73	$6,727.55