Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,857.17 / $10,061.00 / $20,509.00	Facility		$2,857.17	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,394.92 / $2,857.17 / $15,369.90	Professional		$2,394.92	$2,857.17	$15,369.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $13,419.17 / $28,633.72	Facility		$5,540.00	$13,419.17	$28,633.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,878.07 / $5,013.72 / $9,355.50	Professional		$3,878.07	$5,013.72	$9,355.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,098.36 / $3,262.13 / $7,937.18	Professional		$2,098.36	$3,262.13	$7,937.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,844.95 / $3,786.44 / $10,029.70	Professional		$2,844.95	$3,786.44	$10,029.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.52 / $2,552.21 / $3,858.67	Professional		$1,686.52	$2,552.21	$3,858.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,933.96 / $3,836.10 / $6,783.30	Professional		$2,933.96	$3,836.10	$6,783.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $34,972.56 / $42,269.28	Facility		$55.00	$34,972.56	$42,269.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,466.74 / $21,620.88 / $27,569.85	Professional		$21,466.74	$21,620.88	$27,569.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,038.00 / $3,699.98 / $5,173.18	Facility		$3,038.00	$3,699.98	$5,173.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,844.95 / $3,941.54 / $8,374.33	Professional		$2,844.95	$3,941.54	$8,374.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,536.76 / $9,536.76 / $9,536.76	Professional		$9,536.76	$9,536.76	$9,536.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,686.52 / $2,867.08 / $3,556.56	Professional		$1,686.52	$2,867.08	$3,556.56
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 $2,477.69 / $3,567.76 / $9,843.93	Professional		$2,477.69	$3,567.76	$9,843.93