Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,978.07 / $10,061.00 / $20,509.00	Facility		$2,978.07	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,487.92 / $2,978.07 / $15,943.70	Professional		$2,487.92	$2,978.07	$15,943.70
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 $4,028.09 / $5,195.91 / $10,150.79	Professional		$4,028.09	$5,195.91	$10,150.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,152.82 / $3,338.45 / $8,143.20	Professional		$2,152.82	$3,338.45	$8,143.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,947.19 / $3,934.25 / $10,892.68	Professional		$2,947.19	$3,934.25	$10,892.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,274.38 / $1,928.52 / $4,035.65	Professional		$1,274.38	$1,928.52	$4,035.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,056.41 / $3,992.51 / $7,072.47	Professional		$3,056.41	$3,992.51	$7,072.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $36,326.28 / $43,940.16	Facility		$55.00	$36,326.28	$43,940.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,224.30 / $22,483.36 / $28,630.65	Professional		$22,224.30	$22,483.36	$28,630.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,214.76 / $3,903.89 / $5,537.81	Facility		$3,214.76	$3,903.89	$5,537.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,947.19 / $4,093.32 / $8,702.06	Professional		$2,947.19	$4,093.32	$8,702.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,892.75 / $9,892.75 / $9,892.75	Professional		$9,892.75	$9,892.75	$9,892.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,274.38 / $2,249.94 / $3,720.21	Professional		$1,274.38	$2,249.94	$3,720.21
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 $2,584.69 / $3,593.75 / $10,219.75	Professional		$2,584.69	$3,593.75	$10,219.75