Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,717.44 / $10,051.00 / $20,509.00	Facility		$1,717.44	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,527.14 / $1,717.44 / $9,505.67	Professional		$1,527.14	$1,717.44	$9,505.67
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 $2,298.27 / $3,011.06 / $5,775.08	Professional		$2,298.27	$3,011.06	$5,775.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,248.30 / $1,936.53 / $4,721.77	Professional		$1,248.30	$1,936.53	$4,721.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,762.23 / $2,352.41 / $6,130.80	Professional		$1,762.23	$2,352.41	$6,130.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,914.43 / $2,421.80	Professional		$1,265.08	$1,914.43	$2,421.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,829.16 / $2,387.85 / $4,235.13	Professional		$1,829.16	$2,387.85	$4,235.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,696.12 / $26,260.32	Facility		$55.00	$21,696.12	$26,260.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,282.32 / $13,439.44 / $17,097.23	Professional		$13,282.32	$13,439.44	$17,097.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,910.28 / $2,360.59 / $3,305.20	Facility		$1,910.28	$2,360.59	$3,305.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,743.07 / $2,440.30 / $5,201.28	Professional		$1,743.07	$2,440.30	$5,201.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,898.09 / $5,898.09 / $5,898.09	Professional		$5,898.09	$5,898.09	$5,898.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,265.08 / $1,897.61 / $2,393.04	Professional		$1,265.08	$1,897.61	$2,393.04
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 $1,540.02 / $2,202.23 / $6,167.09	Professional		$1,540.02	$2,202.23	$6,167.09