Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,292.05 / $11,216.00 / $25,217.10	Facility		$3,292.05	$11,216.00	$25,217.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $3,292.05 / $24,903.40	Professional		$2,517.44	$3,292.05	$24,903.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $6,956.68 / $19,093.89	Facility		$614.00	$6,956.68	$19,093.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,951.99 / $2,082.12 / $6,539.16	Professional		$1,951.99	$2,082.12	$6,539.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $5,112.35 / $34,740.81	Facility		$59.40	$5,112.35	$34,740.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,762.22 / $2,517.44 / $6,328.62	Professional		$1,762.22	$2,517.44	$6,328.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,632.64 / $6,495.02 / $12,964.87	Facility		$2,632.64	$6,495.02	$12,964.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,062.44 / $3,386.42 / $7,481.73	Professional		$2,062.44	$3,386.42	$7,481.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,873.00 / $5,228.55	Professional		$3,098.40	$3,873.00	$5,228.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,453.95 / $8,520.60	Professional		$3,485.70	$4,453.95	$8,520.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,739.02 / $18,396.75 / $18,396.75	Facility		$6,739.02	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,365.00 / $19,365.00 / $29,047.50	Professional		$19,365.00	$19,365.00	$29,047.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $4,647.60 / $10,276.23	Facility		$3,098.40	$4,647.60	$10,276.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,020.82 / $4,260.30 / $7,481.73	Professional		$3,020.82	$4,260.30	$7,481.73
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,594.23 / $13,594.23 / $13,594.23	Professional		$13,594.23	$13,594.23	$13,594.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,485.70 / $5,267.28	Professional		$3,098.40	$3,485.70	$5,267.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,762.22 / $10,613.96	Professional		$1,626.66	$1,762.22	$10,613.96