Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,959.72 / $10,070.00 / $21,960.90	Facility		$2,959.72	$10,070.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,528.79 / $2,885.78 / $14,862.10	Professional		$2,528.79	$2,885.78	$14,862.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,612.00 / $11,825.00 / $22,417.00	Facility		$3,612.00	$11,825.00	$22,417.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,934.14 / $3,860.49 / $8,052.49	Professional		$2,934.14	$3,860.49	$8,052.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $10,373.42	Facility		$63.50	$100.00	$10,373.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,664.63 / $2,555.01 / $6,228.35	Professional		$1,664.63	$2,555.01	$6,228.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,573.68 / $4,573.68 / $6,596.27	Professional		$4,573.68	$4,573.68	$6,596.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,817.00 / $3,821.33	Professional		$1,861.50	$2,817.00	$3,821.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,835.73 / $3,671.70 / $6,942.08	Professional		$2,835.73	$3,671.70	$6,942.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,828.92 / $36,969.90	Facility		$55.00	$29,828.92	$36,969.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,050.75 / $30,904.28 / $32,140.45	Professional		$25,050.75	$30,904.28	$32,140.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,879.22 / $3,632.51 / $5,095.10	Facility		$2,879.22	$3,632.51	$5,095.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,914.73 / $5,744.75 / $7,738.78	Professional		$2,914.73	$5,744.75	$7,738.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,221.68 / $9,221.68 / $9,221.68	Professional		$9,221.68	$9,221.68	$9,221.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,861.50 / $2,896.58 / $3,529.96	Professional		$1,861.50	$2,896.58	$3,529.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,220.00 / $20,279.00	Facility		$2,047.00	$5,220.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,339.69 / $3,425.96 / $9,560.92	Professional		$2,339.69	$3,425.96	$9,560.92