Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,711.73 / $10,061.00 / $20,509.00	Facility		$2,711.73	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,518.48 / $3,416.77 / $14,393.72	Professional		$2,518.48	$3,416.77	$14,393.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,704.90 / $13,266.00 / $27,618.00	Facility		$5,704.90	$13,266.00	$27,618.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,346.09 / $4,385.64 / $8,432.15	Professional		$3,346.09	$4,385.64	$8,432.15
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 $1,687.41 / $2,602.19 / $6,412.46	Professional		$1,687.41	$2,602.19	$6,412.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,600.85 / $3,632.16 / $9,874.23	Professional		$2,600.85	$3,632.16	$9,874.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,822.60 / $3,262.20 / $3,914.64	Professional		$1,822.60	$3,262.20	$3,914.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,935.98 / $3,752.80 / $6,673.41	Professional		$2,935.98	$3,752.80	$6,673.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,462.72 / $30,704.04	Facility		$55.00	$24,462.72	$30,704.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,127.92 / $21,615.68 / $24,805.05	Professional		$21,127.92	$21,615.68	$24,805.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,892.84 / $3,640.04 / $4,981.34	Facility		$2,892.84	$3,640.04	$4,981.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,664.51 / $3,721.12 / $8,160.58	Professional		$2,664.51	$3,721.12	$8,160.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,397.28 / $9,397.28 / $9,397.28	Professional		$9,397.28	$9,397.28	$9,397.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,822.60 / $2,957.85 / $3,619.36	Professional		$1,822.60	$2,957.85	$3,619.36
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,262.88 / $3,247.81 / $9,213.93	Professional		$2,262.88	$3,247.81	$9,213.93