Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,847.82 / $10,061.00 / $20,509.00	Facility		$2,847.82	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,590.80 / $2,847.82 / $14,663.60	Professional		$2,590.80	$2,847.82	$14,663.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,393.93 / $14,348.00 / $32,242.00	Facility		$4,393.93	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,793.37 / $5,020.43 / $9,679.40	Professional		$3,793.37	$5,020.43	$9,679.40
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $10,378.59	Facility		$63.50	$100.00	$10,378.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,731.84 / $2,664.88 / $6,186.39	Professional		$1,731.84	$2,664.88	$6,186.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,746.90 / $3,449.43 / $8,554.58	Professional		$2,746.90	$3,449.43	$8,554.58
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,841.02 / $2,321.67 / $3,518.88	Professional		$1,841.02	$2,321.67	$3,518.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,639.16 / $3,413.30 / $4,936.00	Professional		$2,639.16	$3,413.30	$4,936.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55,310.43 / $68,292.84	Facility		$55.00	$55,310.43	$68,292.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,251.92 / $23,142.00 / $24,295.13	Professional		$22,251.92	$23,142.00	$24,295.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,787.72 / $3,586.43 / $4,713.60	Facility		$2,787.72	$3,586.43	$4,713.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,712.62 / $3,448.63 / $7,923.31	Professional		$2,712.62	$3,448.63	$7,923.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,098.48 / $9,098.48 / $9,098.48	Professional		$9,098.48	$9,098.48	$9,098.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,841.02 / $2,730.27 / $3,482.52	Professional		$1,841.02	$2,730.27	$3,482.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,159.00 / $20,279.00	Facility		$2,047.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,409.63 / $3,310.21 / $7,179.92	Professional		$2,409.63	$3,310.21	$7,179.92