Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,790.22 / $10,061.00 / $20,509.00	Facility		$2,790.22	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,358.07 / $2,790.22 / $14,048.40	Professional		$2,358.07	$2,790.22	$14,048.40
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 $3,575.04 / $4,511.46 / $8,848.17	Professional		$3,575.04	$4,511.46	$8,848.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,798.98	Facility		$63.50	$100.00	$11,798.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,745.59 / $2,725.55 / $6,656.99	Professional		$1,745.59	$2,725.55	$6,656.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,508.87 / $3,484.54 / $9,700.01	Professional		$2,508.87	$3,484.54	$9,700.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.43 / $2,570.23 / $3,742.90	Professional		$1,698.43	$2,570.23	$3,742.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,725.59 / $3,543.27 / $6,253.10	Professional		$2,725.59	$3,543.27	$6,253.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $29,763.96 / $38,137.80	Facility		$55.00	$29,763.96	$38,137.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,466.96 / $20,151.52 / $22,614.00	Professional		$19,466.96	$20,151.52	$22,614.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,753.31 / $3,410.78 / $4,830.00	Facility		$2,753.31	$3,410.78	$4,830.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,515.64 / $3,533.12 / $7,888.62	Professional		$2,515.64	$3,533.12	$7,888.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,716.76 / $8,716.76 / $8,716.76	Professional		$8,716.76	$8,716.76	$8,716.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.43 / $2,784.42 / $3,463.26	Professional		$1,698.43	$2,784.42	$3,463.26
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 $2,159.29 / $3,144.67 / $9,356.70	Professional		$2,159.29	$3,144.67	$9,356.70