Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,055.67 / $10,061.00 / $20,509.00	Facility		$2,055.67	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,796.99 / $1,943.13 / $10,945.20	Professional		$1,796.99	$1,943.13	$10,945.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,774.01 / $3,579.31 / $6,990.50	Professional		$2,774.01	$3,579.31	$6,990.50
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 $1,467.24 / $2,280.19 / $5,549.92	Professional		$1,467.24	$2,280.19	$5,549.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,025.96 / $2,704.55 / $7,556.42	Professional		$2,025.96	$2,704.55	$7,556.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,607.59 / $2,323.46 / $2,788.15	Professional		$1,607.59	$2,323.46	$2,788.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,106.17 / $2,749.50 / $4,876.30	Professional		$2,106.17	$2,749.50	$4,876.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,983.64 / $30,243.00	Facility		$55.00	$24,983.64	$30,243.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,272.28 / $15,478.16 / $19,687.34	Professional		$15,272.28	$15,478.16	$19,687.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,206.80 / $2,755.96 / $3,810.15	Facility		$2,206.80	$2,755.96	$3,810.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,025.96 / $2,813.83 / $5,990.91	Professional		$2,025.96	$2,813.83	$5,990.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,791.31 / $6,791.31 / $6,791.31	Professional		$6,791.31	$6,791.31	$6,791.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,607.59 / $2,411.39 / $3,040.95	Professional		$1,607.59	$2,411.39	$3,040.95
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 $1,769.88 / $2,591.60 / $8,085.53	Professional		$1,769.88	$2,591.60	$8,085.53