Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,263.12 / $10,061.00 / $20,509.00	Facility		$2,263.12	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,001.38 / $2,263.12 / $12,037.50	Professional		$2,001.38	$2,263.12	$12,037.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,521.00 / $27,257.00	Facility		$4,597.00	$11,521.00	$27,257.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,054.92 / $3,937.47 / $7,698.39	Professional		$3,054.92	$3,937.47	$7,698.39
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 $1,671.38 / $2,598.02 / $6,322.13	Professional		$1,671.38	$2,598.02	$6,322.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,228.81 / $2,972.51 / $8,363.78	Professional		$2,228.81	$2,972.51	$8,363.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.60 / $1,907.68 / $3,064.13	Professional		$1,260.60	$1,907.68	$3,064.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,315.58 / $3,023.24 / $5,360.72	Professional		$2,315.58	$3,023.24	$5,360.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $27,477.12 / $33,247.19	Facility		$55.00	$27,477.12	$33,247.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,801.25 / $17,015.28 / $21,653.78	Professional		$16,801.25	$17,015.28	$21,653.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,436.69 / $3,057.78 / $4,587.60	Facility		$2,436.69	$3,057.78	$4,587.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,228.81 / $3,052.68 / $6,584.46	Professional		$2,228.81	$3,052.68	$6,584.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,469.02 / $7,469.02 / $7,469.02	Professional		$7,469.02	$7,469.02	$7,469.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,260.60 / $2,143.03 / $2,824.86	Professional		$1,260.60	$2,143.03	$2,824.86
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 $1,947.13 / $2,781.59 / $7,809.69	Professional		$1,947.13	$2,781.59	$7,809.69