Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,859.78 / $10,061.00 / $20,509.00	Facility		$1,859.78	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,682.17 / $1,859.78 / $12,475.00	Professional		$1,682.17	$1,859.78	$12,475.00
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 $2,468.23 / $3,527.99 / $6,783.16	Professional		$2,468.23	$3,527.99	$6,783.16
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 $1,334.89 / $2,050.53 / $4,871.77	Professional		$1,334.89	$2,050.53	$4,871.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,980.20 / $2,812.67 / $7,034.95	Professional		$1,980.20	$2,812.67	$7,034.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,889.05 / $2,382.23 / $3,228.84	Professional		$1,889.05	$2,382.23	$3,228.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,235.35 / $2,892.54 / $4,750.00	Professional		$2,235.35	$2,892.54	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $46,978.26 / $58,020.27	Facility		$55.00	$46,978.26	$58,020.27
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,012.00 / $23,012.00 / $23,012.00	Professional		$23,012.00	$23,012.00	$23,012.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,312.08 / $2,880.35 / $4,036.67	Facility		$2,312.08	$2,880.35	$4,036.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,980.20 / $2,823.93 / $6,732.16	Professional		$1,980.20	$2,823.93	$6,732.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,740.48 / $7,740.48 / $7,740.48	Professional		$7,740.48	$7,740.48	$7,740.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,889.05 / $2,644.67 / $3,573.36	Professional		$1,889.05	$2,644.67	$3,573.36
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 $1,908.66 / $2,699.51 / $8,676.45	Professional		$1,908.66	$2,699.51	$8,676.45