Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,103.54 / $10,061.00 / $20,509.00	Facility		$2,103.54	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,878.08 / $2,026.96 / $11,503.80	Professional		$1,878.08	$2,026.96	$11,503.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,059.00 / $24,104.86	Facility		$4,437.00	$11,059.00	$24,104.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,380.10 / $3,301.68 / $6,226.59	Professional		$2,380.10	$3,301.68	$6,226.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $10,063.87	Facility		$64.20	$100.00	$10,063.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,452.56 / $2,207.42 / $5,494.42	Professional		$1,452.56	$2,207.42	$5,494.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,099.32 / $2,792.37 / $7,951.91	Professional		$2,099.32	$2,792.37	$7,951.91
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.86 / $2,219.80 / $2,928.95	Professional		$1,466.86	$2,219.80	$2,928.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,183.14 / $2,767.91 / $4,962.74	Professional		$2,183.14	$2,767.91	$4,962.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,897.00 / $12,051.24 / $15,086.58	Facility		$5,897.00	$12,051.24	$15,086.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,606.41 / $24,606.41 / $24,606.41	Professional		$24,606.41	$24,606.41	$24,606.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,214.33 / $2,857.36 / $4,320.00	Facility		$2,214.33	$2,857.36	$4,320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,099.32 / $2,800.23 / $6,185.44	Professional		$2,099.32	$2,800.23	$6,185.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,137.91 / $7,137.91 / $7,137.91	Professional		$7,137.91	$7,137.91	$7,137.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,466.86 / $2,215.80 / $2,774.75	Professional		$1,466.86	$2,215.80	$2,774.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,434.00 / $26,672.00	Facility		$5,835.00	$12,434.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,779.12 / $2,517.52 / $7,324.37	Professional		$1,779.12	$2,517.52	$7,324.37