Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,747.66 / $10,051.00 / $20,509.00	Facility		$1,747.66	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,525.24 / $1,649.81 / $7,179.47	Professional		$1,525.24	$1,649.81	$7,179.47
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 $2,344.98 / $3,050.76 / $5,909.38	Professional		$2,344.98	$3,050.76	$5,909.38
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 $1,213.08 / $1,879.76 / $4,588.58	Professional		$1,213.08	$1,879.76	$4,588.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,732.09 / $2,305.59 / $6,310.14	Professional		$1,732.09	$2,305.59	$6,310.14
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,302.31 / $1,970.77 / $2,403.73	Professional		$1,302.31	$1,970.77	$2,403.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,808.83 / $2,359.10 / $4,191.33	Professional		$1,808.83	$2,359.10	$4,191.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,393.72 / $25,937.76	Facility		$55.00	$21,393.72	$25,937.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,830.79 / $15,830.79 / $16,853.40	Professional		$15,830.79	$15,830.79	$16,853.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,887.28 / $2,350.76 / $3,518.74	Facility		$1,887.28	$2,350.76	$3,518.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,732.09 / $2,354.06 / $5,134.93	Professional		$1,732.09	$2,354.06	$5,134.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,810.08 / $5,810.08 / $5,810.08	Professional		$5,810.08	$5,810.08	$5,810.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,302.31 / $1,953.46 / $2,463.46	Professional		$1,302.31	$1,953.46	$2,463.46
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 $1,536.23 / $2,158.39 / $6,010.76	Professional		$1,536.23	$2,158.39	$6,010.76