Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,732.14 / $2,732.14 / $14,340.00	Facility		$2,732.14	$2,732.14	$14,340.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,171.58 / $2,732.14 / $14,340.00	Professional		$2,171.58	$2,732.14	$14,340.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,074.73 / $7,540.61 / $15,776.65	Facility		$2,074.73	$7,540.61	$15,776.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,484.15 / $2,779.11 / $4,735.76	Professional		$2,484.15	$2,779.11	$4,735.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,884.17 / $10,507.45	Facility		$97.00	$5,884.17	$10,507.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,594.50 / $15,360.82	Professional		$100.00	$6,594.50	$15,360.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,294.10 / $3,294.10 / $3,948.32	Facility		$3,294.10	$3,294.10	$3,948.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $2,404.69 / $3,511.67	Professional		$2,404.69	$2,404.69	$3,511.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,976.10 / $4,970.12 / $5,964.14	Professional		$3,976.10	$4,970.12	$5,964.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,982.07 / $3,479.08 / $7,554.58	Professional		$2,982.07	$3,479.08	$7,554.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,554.93 / $23,712.81 / $23,712.81	Facility		$8,554.93	$23,712.81	$23,712.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,637.24 / $25,637.24 / $37,275.90	Professional		$25,637.24	$25,637.24	$37,275.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,465.11 / $4,394.02 / $5,119.29	Facility		$1,465.11	$4,394.02	$5,119.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,404.69 / $3,294.10 / $4,730.63	Professional		$2,404.69	$3,294.10	$4,730.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,380.91 / $9,380.91 / $9,380.91	Professional		$9,380.91	$9,380.91	$9,380.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,976.10 / $3,976.10 / $3,976.10	Professional		$3,976.10	$3,976.10	$3,976.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,136.21 / $2,479.54 / $5,014.45	Professional		$2,136.21	$2,479.54	$5,014.45