Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,052.00 / $2,100.00 / $12,596.10	Facility		$2,052.00	$2,100.00	$12,596.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,052.00 / $3,823.47 / $9,644.56	Professional		$2,052.00	$3,823.47	$9,644.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $9,557.00 / $19,252.00	Facility		$3,028.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,190.52 / $3,062.47 / $6,215.44	Professional		$2,190.52	$3,062.47	$6,215.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $7,121.41	Facility		$64.20	$100.00	$7,121.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,553.92 / $2,219.89 / $5,550.83	Professional		$1,553.92	$2,219.89	$5,550.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,972.23 / $2,778.51 / $8,218.86	Professional		$1,972.23	$2,778.51	$8,218.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.14 / $2,716.90 / $3,260.28	Professional		$1,390.14	$2,716.90	$3,260.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,445.21 / $3,152.01 / $5,641.57	Professional		$2,445.21	$3,152.01	$5,641.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,176.08 / $17,562.30	Facility		$55.00	$14,176.08	$17,562.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,653.20 / $18,209.52 / $22,024.43	Professional		$17,653.20	$18,209.52	$22,024.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,911.60 / $2,509.10 / $3,939.51	Facility		$1,911.60	$2,509.10	$3,939.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.98 / $2,939.23 / $6,679.45	Professional		$1,995.98	$2,939.23	$6,679.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,092.95 / $7,092.95 / $7,092.95	Professional		$7,092.95	$7,092.95	$7,092.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,390.14 / $2,363.23 / $3,009.38	Professional		$1,390.14	$2,363.23	$3,009.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,832.88 / $2,638.92 / $6,964.39	Professional		$1,832.88	$2,638.92	$6,964.39