Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,159.19 / $10,061.00 / $20,509.00	Facility		$2,159.19	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,768.87 / $2,159.19 / $11,511.80	Professional		$1,768.87	$2,159.19	$11,511.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,051.26 / $22,688.99	Facility		$4,597.00	$11,051.26	$22,688.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,533.25 / $3,255.16 / $6,383.79	Professional		$2,533.25	$3,255.16	$6,383.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,798.98	Facility		$63.50	$100.00	$11,798.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,297.48 / $2,041.89 / $4,995.72	Professional		$1,297.48	$2,041.89	$4,995.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,000.33 / $2,763.83 / $7,737.58	Professional		$2,000.33	$2,763.83	$7,737.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $3,031.52	Professional		$1,096.42	$1,659.22	$3,031.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,198.05 / $2,857.47 / $5,050.58	Professional		$2,198.05	$2,857.47	$5,050.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $13,975.57 / $17,799.88	Facility		$55.00	$13,975.57	$17,799.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,673.04 / $16,118.24 / $18,214.28	Professional		$15,673.04	$16,118.24	$18,214.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,150.80 / $2,716.31 / $3,787.94	Facility		$2,150.80	$2,716.31	$3,787.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,015.76 / $2,852.08 / $6,097.31	Professional		$2,015.76	$2,852.08	$6,097.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,142.88 / $7,142.88 / $7,142.88	Professional		$7,142.88	$7,142.88	$7,142.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,935.75 / $2,805.24	Professional		$1,096.42	$1,935.75	$2,805.24
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 $1,728.67 / $2,531.62 / $7,913.80	Professional		$1,728.67	$2,531.62	$7,913.80