Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,920.27 / $10,061.00 / $20,509.00	Facility		$2,920.27	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,407.46 / $2,920.27 / $15,666.90	Professional		$2,407.46	$2,920.27	$15,666.90
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 $3,460.92 / $4,536.16 / $8,721.51	Professional		$3,460.92	$4,536.16	$8,721.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $16,381.88	Facility		$63.50	$100.00	$16,381.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,760.91 / $2,763.97 / $6,772.75	Professional		$1,760.91	$2,763.97	$6,772.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.33 / $3,761.34 / $10,543.69	Professional		$2,734.33	$3,761.34	$10,543.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,004.84 / $3,033.91 / $4,032.07	Professional		$2,004.84	$3,033.91	$4,032.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,950.23 / $3,835.30 / $6,756.95	Professional		$2,950.23	$3,835.30	$6,756.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,593.30 / $37,725.60	Facility		$55.00	$29,593.30	$37,725.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,109.20 / $21,757.92 / $24,511.95	Professional		$21,109.20	$21,757.92	$24,511.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,892.56 / $3,696.00 / $5,067.71	Facility		$2,892.56	$3,696.00	$5,067.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,734.33 / $3,862.28 / $8,320.27	Professional		$2,734.33	$3,862.28	$8,320.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,721.04 / $9,721.04 / $9,721.04	Professional		$9,721.04	$9,721.04	$9,721.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,004.84 / $3,052.26 / $3,792.39	Professional		$2,004.84	$3,052.26	$3,792.39
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 $2,362.50 / $3,325.53 / $8,816.62	Professional		$2,362.50	$3,325.53	$8,816.62