Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,467.48 / $10,061.00 / $20,509.00	Facility		$2,467.48	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,195.29 / $2,467.48 / $13,307.00	Professional		$2,195.29	$2,467.48	$13,307.00
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 $3,334.53 / $4,208.63 / $8,260.34	Professional		$3,334.53	$4,208.63	$8,260.34
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 $1,414.50 / $2,215.60 / $5,570.55	Professional		$1,414.50	$2,215.60	$5,570.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.48 / $3,210.45 / $8,792.50	Professional		$2,290.48	$3,210.45	$8,792.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,474.68 / $2,231.63 / $3,344.51	Professional		$1,474.68	$2,231.63	$3,344.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,542.53 / $3,324.13 / $5,943.94	Professional		$2,542.53	$3,324.13	$5,943.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $30,301.92 / $36,623.28	Facility		$55.00	$30,301.92	$36,623.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,623.70 / $18,732.72 / $23,886.98	Professional		$18,623.70	$18,732.72	$23,886.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,465.41 / $3,191.16 / $4,459.34	Facility		$2,465.41	$3,191.16	$4,459.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,297.09 / $3,280.81 / $7,256.55	Professional		$2,297.09	$3,280.81	$7,256.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,256.74 / $8,256.74 / $8,256.74	Professional		$8,256.74	$8,256.74	$8,256.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,474.68 / $2,506.96 / $3,082.67	Professional		$1,474.68	$2,506.96	$3,082.67
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 $2,136.89 / $3,066.79 / $8,628.85	Professional		$2,136.89	$3,066.79	$8,628.85