Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,030.53 / $10,321.00 / $22,788.00	Facility		$3,030.53	$10,321.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,763.86 / $3,030.53 / $15,641.10	Professional		$2,763.86	$3,030.53	$15,641.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,140.00 / $10,000.00 / $20,418.00	Facility		$4,140.00	$10,000.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,976.70 / $5,243.20 / $10,279.15	Professional		$3,976.70	$5,243.20	$10,279.15
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 $1,810.42 / $2,771.62 / $6,393.38	Professional		$1,810.42	$2,771.62	$6,393.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,904.83 / $3,635.32 / $9,203.34	Professional		$2,904.83	$3,635.32	$9,203.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,337.30 / $2,947.52 / $4,043.96	Professional		$2,337.30	$2,947.52	$4,043.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,799.67 / $3,581.05 / $5,222.37	Professional		$2,799.67	$3,581.05	$5,222.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $58,520.91 / $72,345.84	Facility		$55.00	$58,520.91	$72,345.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,442.30 / $24,379.99 / $25,622.85	Professional		$23,442.30	$24,379.99	$25,622.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,897.71 / $3,656.30 / $5,073.28	Facility		$2,897.71	$3,656.30	$5,073.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,853.68 / $3,635.32 / $8,426.33	Professional		$2,853.68	$3,635.32	$8,426.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,705.00 / $9,705.00 / $9,705.00	Professional		$9,705.00	$9,705.00	$9,705.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,337.30 / $3,272.22 / $4,421.28	Professional		$2,337.30	$3,272.22	$4,421.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,372.00 / $20,279.00	Facility		$2,047.00	$5,372.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,531.17 / $3,652.68 / $10,083.07	Professional		$2,531.17	$3,652.68	$10,083.07