Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,742.48 / $10,061.00 / $20,509.00	Facility		$2,742.48	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,271.48 / $2,742.48 / $14,846.80	Professional		$2,271.48	$2,742.48	$14,846.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $11,827.46 / $23,587.93	Facility		$4,734.00	$11,827.46	$23,587.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,269.15 / $4,253.07 / $8,238.28	Professional		$3,269.15	$4,253.07	$8,238.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,541.91 / $2,419.17 / $5,931.48	Professional		$1,541.91	$2,419.17	$5,931.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,575.30 / $3,529.28 / $9,908.52	Professional		$2,575.30	$3,529.28	$9,908.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,027.92 / $3,068.84 / $3,834.61	Professional		$2,027.92	$3,068.84	$3,834.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,812.41 / $3,656.13 / $6,436.01	Professional		$2,812.41	$3,656.13	$6,436.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,238.98 / $35,957.46	Facility		$55.00	$28,238.98	$35,957.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,145.43 / $20,744.16 / $23,378.63	Professional		$20,145.43	$20,744.16	$23,378.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,746.47 / $3,494.92 / $4,827.01	Facility		$2,746.47	$3,494.92	$4,827.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,578.42 / $3,615.29 / $7,894.76	Professional		$2,578.42	$3,615.29	$7,894.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,212.17 / $9,212.17 / $9,212.17	Professional		$9,212.17	$9,212.17	$9,212.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,027.92 / $3,041.88 / $3,836.05	Professional		$2,027.92	$3,041.88	$3,836.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,253.13 / $3,269.99 / $9,271.29	Professional		$2,253.13	$3,269.99	$9,271.29