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 / $13,445.50	Facility		$2,052.00	$2,100.00	$13,445.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.69 / $2,585.51 / $10,887.00	Professional		$1,865.69	$2,585.51	$10,887.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,747.00 / $19,696.00	Facility		$3,145.00	$9,747.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,192.07 / $3,062.47 / $6,635.25	Professional		$2,192.07	$3,062.47	$6,635.25
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 $1,633.25 / $2,333.21 / $5,834.19	Professional		$1,633.25	$2,333.21	$5,834.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,177.90 / $2,977.76 / $8,769.70	Professional		$2,177.90	$2,977.76	$8,769.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,390.97 / $2,910.57 / $3,492.68	Professional		$1,390.97	$2,910.57	$3,492.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,619.51 / $3,377.71 / $6,044.92	Professional		$2,619.51	$3,377.71	$6,044.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $20,257.20 / $25,101.12	Facility		$55.00	$20,257.20	$25,101.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,919.91 / $19,519.36 / $23,602.65	Professional		$18,919.91	$19,519.36	$23,602.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $2,747.69 / $4,220.33	Facility		$2,150.00	$2,747.69	$4,220.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,218.75 / $3,232.39 / $7,127.80	Professional		$2,218.75	$3,232.39	$7,127.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,571.90 / $7,571.90 / $7,571.90	Professional		$7,571.90	$7,571.90	$7,571.90
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,390.97 / $2,364.65 / $3,223.88	Professional		$1,390.97	$2,364.65	$3,223.88
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 $1,963.30 / $2,764.79 / $7,771.47	Professional		$1,963.30	$2,764.79	$7,771.47