Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,625.28 / $10,061.00 / $20,509.00	Facility		$2,625.28	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,159.10 / $2,625.28 / $14,460.50	Professional		$2,159.10	$2,625.28	$14,460.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $13,419.17 / $28,633.72	Facility		$5,540.00	$13,419.17	$28,633.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,412.59 / $4,406.55 / $8,599.70	Professional		$3,412.59	$4,406.55	$8,599.70
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 $1,739.95 / $2,725.77 / $6,581.48	Professional		$1,739.95	$2,725.77	$6,581.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,536.36 / $3,487.66 / $9,416.60	Professional		$2,536.36	$3,487.66	$9,416.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,645.19 / $2,489.66 / $3,724.24	Professional		$1,645.19	$2,489.66	$3,724.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,793.18 / $3,582.05 / $6,411.77	Professional		$2,793.18	$3,582.05	$6,411.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $32,210.76 / $39,477.00	Facility		$55.00	$32,210.76	$39,477.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,885.80 / $20,242.96 / $25,349.70	Professional		$19,885.80	$20,242.96	$25,349.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,568.00 / $3,438.77 / $4,750.49	Facility		$2,568.00	$3,438.77	$4,750.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,536.36 / $3,600.68 / $8,021.51	Professional		$2,536.36	$3,600.68	$8,021.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,972.49 / $8,972.49 / $8,972.49	Professional		$8,972.49	$8,972.49	$8,972.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,645.19 / $2,796.83 / $3,435.96	Professional		$1,645.19	$2,796.83	$3,435.96
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 $2,305.36 / $3,380.04 / $10,068.77	Professional		$2,305.36	$3,380.04	$10,068.77