Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,352.27 / $10,061.00 / $20,509.00	Facility		$2,352.27	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,005.15 / $2,263.73 / $11,084.60	Professional		$2,005.15	$2,263.73	$11,084.60
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 $2,431.02 / $3,196.34 / $6,217.43	Professional		$2,431.02	$3,196.34	$6,217.43
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 $1,448.82 / $2,224.58 / $5,476.61	Professional		$1,448.82	$2,224.58	$5,476.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,030.05 / $2,751.02 / $8,373.90	Professional		$2,030.05	$2,751.02	$8,373.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,651.52 / $2,310.69 / $2,772.84	Professional		$1,651.52	$2,310.69	$2,772.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,079.63 / $2,662.73 / $4,741.70	Professional		$2,079.63	$2,662.73	$4,741.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,356.68 / $21,964.95	Facility		$55.00	$17,356.68	$21,964.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,415.00 / $30,415.00 / $30,415.00	Professional		$30,415.00	$30,415.00	$30,415.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,218.94 / $2,814.53 / $4,078.10	Facility		$2,218.94	$2,814.53	$4,078.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,076.06 / $2,752.60 / $5,962.53	Professional		$2,076.06	$2,752.60	$5,962.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,877.81 / $6,877.81 / $6,877.81	Professional		$6,877.81	$6,877.81	$6,877.81
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,651.52 / $2,477.28 / $3,124.05	Professional		$1,651.52	$2,477.28	$3,124.05
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 $1,758.85 / $2,581.12 / $6,721.32	Professional		$1,758.85	$2,581.12	$6,721.32