Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,960.80 / $10,061.00 / $20,509.00	Facility		$1,960.80	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.53 / $1,960.80 / $10,537.60	Professional		$1,635.53	$1,960.80	$10,537.60
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 $2,638.31 / $3,432.36 / $6,593.17	Professional		$2,638.31	$3,432.36	$6,593.17
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 $1,405.27 / $2,176.12 / $5,315.54	Professional		$1,405.27	$2,176.12	$5,315.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.88 / $2,593.92 / $7,024.03	Professional		$1,949.88	$2,593.92	$7,024.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,169.65 / $2,688.67	Professional		$1,433.73	$2,169.65	$2,688.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,029.21 / $2,648.44 / $4,699.02	Professional		$2,029.21	$2,648.44	$4,699.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,054.24 / $29,130.72	Facility		$55.00	$24,054.24	$29,130.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,696.64 / $14,910.00 / $18,953.48	Professional		$14,696.64	$14,910.00	$18,953.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,135.92 / $2,636.77 / $3,648.00	Facility		$2,135.92	$2,636.77	$3,648.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.88 / $2,708.17 / $5,768.83	Professional		$1,949.88	$2,708.17	$5,768.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,538.38 / $6,538.38 / $6,538.38	Professional		$6,538.38	$6,538.38	$6,538.38
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 $1,703.25 / $2,418.56 / $6,759.91	Professional		$1,703.25	$2,418.56	$6,759.91