Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,014.99 / $10,061.00 / $20,509.00	Facility		$2,014.99	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,782.14 / $2,014.99 / $10,755.60	Professional		$1,782.14	$2,014.99	$10,755.60
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 $2,716.60 / $3,517.14 / $6,845.83	Professional		$2,716.60	$3,517.14	$6,845.83
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 $1,425.54 / $2,210.73 / $5,392.19	Professional		$1,425.54	$2,210.73	$5,392.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,990.87 / $2,657.96 / $7,300.61	Professional		$1,990.87	$2,657.96	$7,300.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,642.22 / $2,285.71 / $2,742.86	Professional		$1,642.22	$2,285.71	$2,742.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,071.25 / $2,703.79 / $4,795.89	Professional		$2,071.25	$2,703.79	$4,795.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,564.60 / $29,727.60	Facility		$55.00	$24,564.60	$29,727.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,867.68 / $16,867.68 / $19,357.88	Professional		$16,867.68	$16,867.68	$19,357.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,179.16 / $2,705.44 / $4,021.60	Facility		$2,179.16	$2,705.44	$4,021.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,990.87 / $2,765.09 / $5,887.69	Professional		$1,990.87	$2,765.09	$5,887.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,673.66 / $6,673.66 / $6,673.66	Professional		$6,673.66	$6,673.66	$6,673.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,642.22 / $2,463.32 / $3,106.45	Professional		$1,642.22	$2,463.32	$3,106.45
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 $1,738.80 / $2,483.98 / $6,978.28	Professional		$1,738.80	$2,483.98	$6,978.28