Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,950.38 / $10,061.00 / $20,509.00	Facility		$1,950.38	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,724.56 / $1,950.38 / $10,426.00	Professional		$1,724.56	$1,950.38	$10,426.00
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 $2,652.57 / $3,409.23 / $6,618.29	Professional		$2,652.57	$3,409.23	$6,618.29
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 $1,384.34 / $2,149.12 / $5,238.91	Professional		$1,384.34	$2,149.12	$5,238.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,929.35 / $2,576.92 / $7,131.33	Professional		$1,929.35	$2,576.92	$7,131.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,520.47 / $2,218.42 / $2,662.10	Professional		$1,520.47	$2,218.42	$2,662.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,008.69 / $2,621.53 / $4,651.75	Professional		$2,008.69	$2,621.53	$4,651.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,807.16 / $28,831.80	Facility		$55.00	$23,807.16	$28,831.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,540.58 / $14,757.04 / $18,758.70	Professional		$14,540.58	$14,757.04	$18,758.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,097.21 / $2,625.53 / $3,630.45	Facility		$2,097.21	$2,625.53	$3,630.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,929.35 / $2,679.65 / $5,710.26	Professional		$1,929.35	$2,679.65	$5,710.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,469.13 / $6,469.13 / $6,469.13	Professional		$6,469.13	$6,469.13	$6,469.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,520.47 / $2,280.71 / $2,876.16	Professional		$1,520.47	$2,280.71	$2,876.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,108.00 / $18,709.00	Facility		$1,930.00	$6,108.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,684.77 / $2,430.05 / $6,688.71	Professional		$1,684.77	$2,430.05	$6,688.71