Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,744.69 / $10,061.00 / $20,509.00	Facility		$2,744.69	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,303.36 / $2,726.97 / $13,780.10	Professional		$2,303.36	$2,726.97	$13,780.10
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 $3,672.32 / $4,669.47 / $9,002.79	Professional		$3,672.32	$4,669.47	$9,002.79
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 $1,860.97 / $2,902.46 / $7,039.26	Professional		$1,860.97	$2,902.46	$7,039.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.00 / $3,485.97 / $9,666.84	Professional		$2,511.00	$3,485.97	$9,666.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,790.39 / $2,709.40 / $3,912.50	Professional		$1,790.39	$2,709.40	$3,912.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,934.38 / $3,804.39 / $6,782.23	Professional		$2,934.38	$3,804.39	$6,782.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $34,367.76 / $41,937.72	Facility		$55.00	$34,367.76	$41,937.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,905.28 / $21,487.76 / $27,062.63	Professional		$20,905.28	$21,487.76	$27,062.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,970.51 / $3,721.46 / $5,040.00	Facility		$2,970.51	$3,721.46	$5,040.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,675.35 / $3,694.87 / $7,670.66	Professional		$2,675.35	$3,694.87	$7,670.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,550.29 / $8,550.29 / $8,550.29	Professional		$8,550.29	$8,550.29	$8,550.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,790.39 / $2,952.43 / $3,608.53	Professional		$1,790.39	$2,952.43	$3,608.53
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 $2,221.42 / $3,316.76 / $8,878.96	Professional		$2,221.42	$3,316.76	$8,878.96