Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,126.29 / $10,061.00 / $20,509.00	Facility		$2,126.29	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,835.55 / $2,126.29 / $9,194.24	Professional		$1,835.55	$2,126.29	$9,194.24
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 $2,756.99 / $3,613.53 / $6,964.12	Professional		$2,756.99	$3,613.53	$6,964.12
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 $1,624.57 / $2,520.94 / $6,145.07	Professional		$1,624.57	$2,520.94	$6,145.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.12 / $2,948.62 / $8,322.95	Professional		$2,116.12	$2,948.62	$8,322.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,770.29 / $2,565.10 / $3,078.12	Professional		$1,770.29	$2,565.10	$3,078.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,317.29 / $3,022.68 / $5,369.08	Professional		$2,317.29	$3,022.68	$5,369.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,418.32 / $33,208.80	Facility		$55.00	$27,418.32	$33,208.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,702.56 / $17,002.00 / $21,601.80	Professional		$16,702.56	$17,002.00	$21,601.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,418.14 / $2,992.68 / $4,263.60	Facility		$2,418.14	$2,992.68	$4,263.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,147.12 / $2,993.87 / $6,575.65	Professional		$2,147.12	$2,993.87	$6,575.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,444.35 / $7,444.35 / $7,444.35	Professional		$7,444.35	$7,444.35	$7,444.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,770.29 / $2,655.43 / $3,348.71	Professional		$1,770.29	$2,655.43	$3,348.71
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 $1,867.87 / $2,698.01 / $7,252.83	Professional		$1,867.87	$2,698.01	$7,252.83