Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,161.23 / $10,061.00 / $20,509.00	Facility		$2,161.23	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,803.52 / $2,161.23 / $11,540.60	Professional		$1,803.52	$2,161.23	$11,540.60
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 $2,918.43 / $3,773.78 / $7,354.44	Professional		$2,918.43	$3,773.78	$7,354.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $10,373.42	Facility		$63.50	$100.00	$10,373.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,551.84 / $2,409.02 / $5,869.93	Professional		$1,551.84	$2,409.02	$5,869.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.13 / $2,850.42 / $7,899.33	Professional		$2,137.13	$2,850.42	$7,899.33
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,169.65 / $2,933.81	Professional		$1,433.73	$2,169.65	$2,933.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,218.82 / $2,897.44 / $5,135.85	Professional		$2,218.82	$2,897.44	$5,135.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $26,343.96 / $31,878.96	Facility		$55.00	$26,343.96	$31,878.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,113.66 / $16,313.36 / $20,761.50	Professional		$16,113.66	$16,313.36	$20,761.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,334.48 / $2,896.84 / $4,015.62	Facility		$2,334.48	$2,896.84	$4,015.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.13 / $2,968.23 / $6,314.02	Professional		$2,137.13	$2,968.23	$6,314.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,160.70 / $7,160.70 / $7,160.70	Professional		$7,160.70	$7,160.70	$7,160.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,433.73 / $2,247.17 / $2,712.07	Professional		$1,433.73	$2,247.17	$2,712.07
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 $1,867.33 / $2,688.07 / $7,544.85	Professional		$1,867.33	$2,688.07	$7,544.85