Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,024.92 / $10,070.00 / $21,960.90	Facility		$2,024.92	$10,070.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,792.64 / $1,954.86 / $10,872.90	Professional		$1,792.64	$1,954.86	$10,872.90
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 $2,727.22 / $3,548.03 / $6,872.60	Professional		$2,727.22	$3,548.03	$6,872.60
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 $1,461.08 / $2,271.41 / $5,526.62	Professional		$1,461.08	$2,271.41	$5,526.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.41 / $2,678.66 / $7,398.06	Professional		$2,012.41	$2,678.66	$7,398.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,577.44 / $2,309.30 / $2,771.16	Professional		$1,577.44	$2,309.30	$2,771.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,093.21 / $2,732.69 / $4,846.47	Professional		$2,093.21	$2,732.69	$4,846.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $24,830.88 / $30,048.00	Facility		$55.00	$24,830.88	$30,048.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,668.47 / $17,668.47 / $19,568.70	Professional		$17,668.47	$17,668.47	$19,568.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,202.94 / $2,727.51 / $3,741.30	Facility		$2,202.94	$2,727.51	$3,741.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,012.41 / $2,795.01 / $5,951.58	Professional		$2,012.41	$2,795.01	$5,951.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,746.42 / $6,746.42 / $6,746.42	Professional		$6,746.42	$6,746.42	$6,746.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,577.44 / $2,366.15 / $2,983.91	Professional		$1,577.44	$2,366.15	$2,983.91
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 $1,758.13 / $2,556.84 / $7,762.08	Professional		$1,758.13	$2,556.84	$7,762.08