Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,092.67 / $10,061.00 / $20,509.00	Facility		$2,092.67	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,907.25 / $2,092.67 / $11,096.20	Professional		$1,907.25	$2,092.67	$11,096.20
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 $2,741.79 / $3,635.65 / $7,066.07	Professional		$2,741.79	$3,635.65	$7,066.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,344.10	Facility		$63.50	$100.00	$7,344.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,244.36 / $1,905.12 / $4,394.39	Professional		$1,244.36	$1,905.12	$4,394.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,006.87 / $2,571.58 / $6,472.72	Professional		$2,006.87	$2,571.58	$6,472.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,230.84 / $2,900.09	Professional		$1,861.50	$2,230.84	$2,900.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,007.76 / $2,594.54 / $4,790.38	Professional		$2,007.76	$2,594.54	$4,790.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $41,885.55 / $51,728.88	Facility		$55.00	$41,885.55	$51,728.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,176.00 / $19,176.00 / $19,176.00	Professional		$19,176.00	$19,176.00	$19,176.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,032.39 / $2,581.44 / $3,611.25	Facility		$2,032.39	$2,581.44	$3,611.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,992.94 / $2,537.52 / $5,998.53	Professional		$1,992.94	$2,537.52	$5,998.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,884.98 / $6,884.98 / $6,884.98	Professional		$6,884.98	$6,884.98	$6,884.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,470.92 / $3,521.25	Professional		$1,861.50	$2,470.92	$3,521.25
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 $1,771.79 / $2,522.79 / $6,201.86	Professional		$1,771.79	$2,522.79	$6,201.86