Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,310.23 / $10,061.00 / $20,509.00	Facility		$2,310.23	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,977.50 / $2,195.58 / $12,668.80	Professional		$1,977.50	$2,195.58	$12,668.80
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 $2,903.35 / $3,664.42 / $7,316.44	Professional		$2,903.35	$3,664.42	$7,316.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $100.00 / $9,907.12	Facility		$64.20	$100.00	$9,907.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,460.91 / $2,295.71 / $5,609.74	Professional		$1,460.91	$2,295.71	$5,609.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,132.13 / $3,043.01 / $8,538.77	Professional		$2,132.13	$3,043.01	$8,538.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,351.82 / $2,045.70 / $3,425.77	Professional		$1,351.82	$2,045.70	$3,425.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,529.19 / $3,283.03 / $5,786.11	Professional		$2,529.19	$3,283.03	$5,786.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $28,352.04 / $35,198.76	Facility		$55.00	$28,352.04	$35,198.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,496.64 / $18,091.28 / $22,273.95	Professional		$17,496.64	$18,091.28	$22,273.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,166.75 / $3,067.55 / $4,139.99	Facility		$2,166.75	$3,067.55	$4,139.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,132.13 / $3,153.46 / $6,957.16	Professional		$2,132.13	$3,153.46	$6,957.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,860.78 / $7,860.78 / $7,860.78	Professional		$7,860.78	$7,860.78	$7,860.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,351.82 / $2,300.62 / $3,163.36	Professional		$1,351.82	$2,300.62	$3,163.36
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 $1,923.21 / $2,777.96 / $7,915.11	Professional		$1,923.21	$2,777.96	$7,915.11