Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,026.99 / $10,051.00 / $20,509.00	Facility		$2,026.99	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,728.20 / $1,951.12 / $9,570.81	Professional		$1,728.20	$1,951.12	$9,570.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $11,504.00 / $22,145.00	Facility		$4,667.00	$11,504.00	$22,145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,095.11 / $2,801.76 / $5,356.82	Professional		$2,095.11	$2,801.76	$5,356.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,257.89 / $1,932.21 / $4,755.82	Professional		$1,257.89	$1,932.21	$4,755.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,756.37 / $2,370.23 / $7,218.31	Professional		$1,756.37	$2,370.23	$7,218.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $1,988.48 / $2,386.17	Professional		$1,433.73	$1,988.48	$2,386.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,789.63 / $2,291.62 / $4,081.46	Professional		$1,789.63	$2,291.62	$4,081.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $14,944.41 / $18,916.83	Facility		$55.00	$14,944.41	$18,916.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,885.00 / $24,885.00 / $24,885.00	Professional		$24,885.00	$24,885.00	$24,885.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,909.68 / $2,453.57 / $3,394.01	Facility		$1,909.68	$2,453.57	$3,394.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,797.49 / $2,373.09 / $5,139.91	Professional		$1,797.49	$2,373.09	$5,139.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,938.53 / $5,938.53 / $5,938.53	Professional		$5,938.53	$5,938.53	$5,938.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,150.59 / $2,712.07	Professional		$1,433.73	$2,150.59	$2,712.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,520.38 / $2,224.92 / $6,088.77	Professional		$1,520.38	$2,224.92	$6,088.77