Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,418.21 / $10,061.00 / $20,509.00	Facility		$2,418.21	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,014.92 / $2,418.21 / $12,792.90	Professional		$2,014.92	$2,418.21	$12,792.90
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 $3,266.16 / $4,190.57 / $8,091.66	Professional		$3,266.16	$4,190.57	$8,091.66
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 $1,743.83 / $2,703.86 / $6,596.17	Professional		$1,743.83	$2,703.86	$6,596.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,302.90 / $3,110.73 / $8,666.79	Professional		$2,302.90	$3,110.73	$8,666.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,212.58 / $1,834.99 / $3,243.59	Professional		$1,212.58	$1,834.99	$3,243.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,453.25 / $3,203.53 / $5,678.35	Professional		$2,453.25	$3,203.53	$5,678.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,127.36 / $35,248.19	Facility		$55.00	$29,127.36	$35,248.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,482.93 / $18,482.93 / $22,954.05	Professional		$18,482.93	$18,482.93	$22,954.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,399.46 / $3,127.30 / $4,324.78	Facility		$2,399.46	$3,127.30	$4,324.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,344.83 / $3,168.10 / $6,988.86	Professional		$2,344.83	$3,168.10	$6,988.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,937.75 / $7,937.75 / $7,937.75	Professional		$7,937.75	$7,937.75	$7,937.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,212.58 / $2,140.83 / $2,990.22	Professional		$1,212.58	$2,140.83	$2,990.22
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 $2,070.33 / $2,991.13 / $8,299.83	Professional		$2,070.33	$2,991.13	$8,299.83