Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,053.76 / $10,061.00 / $20,509.00	Facility		$2,053.76	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,711.19 / $2,053.76 / $10,905.00	Professional		$1,711.19	$2,053.76	$10,905.00
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 $2,769.72 / $3,603.32 / $6,979.70	Professional		$2,769.72	$3,603.32	$6,979.70
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 $1,523.44 / $2,371.89 / $5,762.51	Professional		$1,523.44	$2,371.89	$5,762.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,071.73 / $2,717.25 / $7,621.33	Professional		$2,071.73	$2,717.25	$7,621.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,084.51 / $1,641.18 / $2,770.52	Professional		$1,084.51	$1,641.18	$2,770.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.69 / $2,733.46 / $4,847.00	Professional		$2,093.69	$2,733.46	$4,847.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,843.00 / $30,080.28	Facility		$55.00	$24,843.00	$30,080.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,516.93 / $16,516.93 / $19,576.58	Professional		$16,516.93	$16,516.93	$19,576.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,048.02 / $2,678.32 / $3,694.03	Facility		$2,048.02	$2,678.32	$3,694.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,071.73 / $2,812.75 / $5,963.28	Professional		$2,071.73	$2,812.75	$5,963.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,766.34 / $6,766.34 / $6,766.34	Professional		$6,766.34	$6,766.34	$6,766.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,084.51 / $1,857.58 / $2,554.17	Professional		$1,084.51	$1,857.58	$2,554.17
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 $1,807.40 / $2,455.82 / $6,637.93	Professional		$1,807.40	$2,455.82	$6,637.93