Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,118.55 / $10,061.00 / $20,509.00	Facility		$2,118.55	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,873.00 / $2,002.12 / $11,227.10	Professional		$1,873.00	$2,002.12	$11,227.10
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 $2,860.88 / $3,662.82 / $7,209.42	Professional		$2,860.88	$3,662.82	$7,209.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,536.71 / $2,381.69 / $5,812.72	Professional		$1,536.71	$2,381.69	$5,812.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.62 / $2,798.75 / $7,712.01	Professional		$2,082.62	$2,798.75	$7,712.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.55 / $1,632.17 / $2,848.22	Professional		$1,078.55	$1,632.17	$2,848.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,153.71 / $2,812.16 / $4,985.24	Professional		$2,153.71	$2,812.16	$4,985.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $25,565.64 / $30,949.68	Facility		$55.00	$25,565.64	$30,949.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,202.05 / $16,202.05 / $20,146.28	Professional		$16,202.05	$16,202.05	$20,146.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,106.58 / $2,753.93 / $3,814.86	Facility		$2,106.58	$2,753.93	$3,814.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,133.48 / $2,894.50 / $6,137.86	Professional		$2,133.48	$2,894.50	$6,137.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,966.22 / $6,966.22 / $6,966.22	Professional		$6,966.22	$6,966.22	$6,966.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,078.55 / $1,904.20 / $2,625.76	Professional		$1,078.55	$1,904.20	$2,625.76
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 $1,851.08 / $2,609.59 / $7,921.63	Professional		$1,851.08	$2,609.59	$7,921.63