Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,987.13 / $10,061.00 / $20,509.00	Facility		$1,987.13	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,757.69 / $1,987.13 / $10,644.50	Professional		$1,757.69	$1,987.13	$10,644.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.00 / $12,567.00 / $28,484.71	Facility		$4,734.00	$12,567.00	$28,484.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,672.13 / $3,476.36 / $6,733.77	Professional		$2,672.13	$3,476.36	$6,733.77
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 $1,421.32 / $2,207.25 / $5,376.23	Professional		$1,421.32	$2,207.25	$5,376.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,973.64 / $2,626.43 / $7,223.52	Professional		$1,973.64	$2,626.43	$7,223.52
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $1,786.54 / $2,710.32	Professional		$1,180.56	$1,786.54	$2,710.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,046.13 / $2,670.76 / $4,737.93	Professional		$2,046.13	$2,670.76	$4,737.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,260.88 / $29,374.80	Facility		$55.00	$24,260.88	$29,374.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,873.28 / $15,034.64 / $19,117.43	Professional		$14,873.28	$15,034.64	$19,117.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,153.61 / $2,602.25 / $3,630.02	Facility		$2,153.61	$2,602.25	$3,630.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,973.64 / $2,709.31 / $5,822.47	Professional		$1,973.64	$2,709.31	$5,822.47
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,604.70 / $6,604.70 / $6,604.70	Professional		$6,604.70	$6,604.70	$6,604.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,180.56 / $2,006.96 / $2,498.77	Professional		$1,180.56	$2,006.96	$2,498.77
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 $1,729.01 / $2,493.00 / $6,906.65	Professional		$1,729.01	$2,493.00	$6,906.65