Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,248.71 / $10,061.00 / $20,509.00	Facility		$2,248.71	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,014.86 / $2,248.71 / $11,759.70	Professional		$2,014.86	$2,248.71	$11,759.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,204.00 / $14,273.00 / $29,600.00	Facility		$4,204.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,937.60 / $4,083.72 / $7,652.52	Professional		$2,937.60	$4,083.72	$7,652.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,543.71 / $2,374.96 / $5,291.89	Professional		$1,543.71	$2,374.96	$5,291.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,215.37 / $2,763.63 / $6,687.96	Professional		$2,215.37	$2,763.63	$6,687.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,099.77 / $2,322.78 / $3,135.75	Professional		$2,099.77	$2,322.78	$3,135.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,090.50 / $2,687.03 / $4,750.00	Professional		$2,090.50	$2,687.03	$4,750.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $54,745.86 / $67,582.06	Facility		$55.00	$54,745.86	$67,582.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,682.00 / $30,682.00 / $30,682.00	Professional		$30,682.00	$30,682.00	$30,682.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,239.19 / $2,933.97 / $4,794.72	Facility		$2,239.19	$2,933.97	$4,794.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,215.37 / $2,757.34 / $6,411.87	Professional		$2,215.37	$2,757.34	$6,411.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,296.65 / $7,296.65 / $7,296.65	Professional		$7,296.65	$7,296.65	$7,296.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,099.77 / $2,647.98 / $3,971.97	Professional		$2,099.77	$2,647.98	$3,971.97
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 $1,944.75 / $2,648.47 / $5,974.56	Professional		$1,944.75	$2,648.47	$5,974.56