Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $12,022.64 / $19,952.62	Facility		$4,073.80	$12,022.64	$19,952.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $2,818.38	Professional		$1,737.80	$2,344.23	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $14,454.40 / $14,791.08	Facility		$7,413.10	$14,454.40	$14,791.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,467.37	Professional		$1,174.90	$1,584.89	$3,467.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $6,606.93 / $8,317.64	Facility		$2,089.30	$6,606.93	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $5,754.40	Professional		$1,698.24	$2,238.72	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $4,897.79 / $9,772.37	Facility		$1,949.84	$4,897.79	$9,772.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $3,981.07	Professional		$2,344.23	$2,884.03	$3,981.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $5,128.61	Professional		$2,630.27	$3,235.94	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $21,877.62 / $21,877.62	Professional		$14,454.40	$21,877.62	$21,877.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,467.37 / $7,585.78	Facility		$2,290.87	$3,467.37	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $4,168.69	Professional		$2,884.03	$3,235.94	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $34,673.69	Professional		$2,344.23	$2,884.03	$34,673.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,884.03 / $2,884.03	Facility		$1,230.27	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $5,623.41	Professional		$1,230.27	$1,230.27	$5,623.41