Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,615.83 / $10,061.00 / $20,509.00	Facility		$2,615.83	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.67 / $2,615.83 / $13,290.00	Professional		$2,376.67	$2,615.83	$13,290.00
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 $3,522.58 / $4,607.62 / $8,803.62	Professional		$3,522.58	$4,607.62	$8,803.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,858.12	Facility		$63.50	$98.70	$13,858.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,706.11 / $2,620.55 / $5,906.47	Professional		$1,706.11	$2,620.55	$5,906.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,494.07 / $3,158.67 / $7,812.40	Professional		$2,494.07	$3,158.67	$7,812.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,525.67 / $2,659.17 / $3,589.88	Professional		$2,525.67	$2,659.17	$3,589.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,393.25 / $3,101.36 / $5,602.43	Professional		$2,393.25	$3,101.36	$5,602.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $45,093.08 / $55,760.44	Facility		$55.00	$45,093.08	$55,760.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,438.00 / $23,438.00 / $23,438.00	Professional		$23,438.00	$23,438.00	$23,438.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,536.11 / $3,300.56 / $4,823.09	Facility		$2,536.11	$3,300.56	$4,823.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,493.67 / $3,126.46 / $7,220.22	Professional		$2,493.67	$3,126.46	$7,220.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,246.18 / $8,246.18 / $8,246.18	Professional		$8,246.18	$8,246.18	$8,246.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,472.89 / $3,185.09 / $4,777.63	Professional		$2,472.89	$3,185.09	$4,777.63
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 $2,143.61 / $3,111.77 / $7,423.49	Professional		$2,143.61	$3,111.77	$7,423.49