Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,456.53 / $10,061.00 / $20,509.00	Facility		$2,456.53	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,225.25 / $2,456.53 / $16,048.00	Professional		$2,225.25	$2,456.53	$16,048.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,348.00 / $32,242.00	Facility		$4,294.00	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,224.37 / $4,508.46 / $8,949.73	Professional		$3,224.37	$4,508.46	$8,949.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,939.24	Facility		$63.50	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,915.57 / $2,948.36 / $6,758.18	Professional		$1,915.57	$2,948.36	$6,758.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,632.84 / $3,648.62 / $9,322.31	Professional		$2,632.84	$3,648.62	$9,322.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,204.76 / $2,780.38 / $4,133.38	Professional		$2,204.76	$2,780.38	$4,133.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,861.57 / $3,702.78 / $5,345.59	Professional		$2,861.57	$3,702.78	$5,345.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60,000.99 / $74,154.36	Facility		$55.00	$60,000.99	$74,154.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,519.40 / $23,262.54 / $26,268.08	Professional		$22,519.40	$23,262.54	$26,268.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,997.16 / $3,743.64 / $4,905.09	Facility		$2,997.16	$3,743.64	$4,905.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,632.84 / $3,696.46 / $8,640.09	Professional		$2,632.84	$3,696.46	$8,640.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,957.49 / $9,957.49 / $9,957.49	Professional		$9,957.49	$9,957.49	$9,957.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,204.76 / $3,086.66 / $4,170.57	Professional		$2,204.76	$3,086.66	$4,170.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,496.27 / $3,553.61 / $7,930.23	Professional		$2,496.27	$3,553.61	$7,930.23