Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.58 / $10,051.00 / $20,509.00	Facility		$2,115.58	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,801.43 / $2,034.56 / $9,961.79	Professional		$1,801.43	$2,034.56	$9,961.79
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 $2,183.27 / $2,833.24 / $5,500.22	Professional		$2,183.27	$2,833.24	$5,500.22
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 $1,290.46 / $1,983.09 / $4,881.25	Professional		$1,290.46	$1,983.09	$4,881.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.85 / $2,471.69 / $7,579.09	Professional		$1,819.85	$2,471.69	$7,579.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,082.23 / $2,498.67	Professional		$1,433.73	$2,082.23	$2,498.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,874.01 / $2,398.64 / $4,269.32	Professional		$1,874.01	$2,398.64	$4,269.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $15,614.10 / $19,761.21	Facility		$55.00	$15,614.10	$19,761.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,470.00 / $24,470.00 / $24,470.00	Professional		$24,470.00	$24,470.00	$24,470.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,981.23 / $2,522.78 / $3,540.63	Facility		$1,981.23	$2,522.78	$3,540.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,864.65 / $2,478.80 / $5,361.95	Professional		$1,864.65	$2,478.80	$5,361.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,181.12 / $6,181.12 / $6,181.12	Professional		$6,181.12	$6,181.12	$6,181.12
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 $1,533.29 / $2,354.69 / $6,688.09	Professional		$1,533.29	$2,354.69	$6,688.09