Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,379.13 / $10,061.00 / $20,509.00	Facility		$2,379.13	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,050.59 / $2,166.69 / $14,271.80	Professional		$2,050.59	$2,166.69	$14,271.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $15,064.00 / $32,242.00	Facility		$5,863.00	$15,064.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,147.17 / $4,124.92 / $7,930.86	Professional		$3,147.17	$4,124.92	$7,930.86
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 $1,668.91 / $2,615.16 / $6,384.46	Professional		$1,668.91	$2,615.16	$6,384.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,362.76 / $3,414.30 / $9,298.95	Professional		$2,362.76	$3,414.30	$9,298.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,573.71 / $2,381.50 / $3,683.69	Professional		$1,573.71	$2,381.50	$3,683.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,762.77 / $3,538.02 / $6,334.94	Professional		$2,762.77	$3,538.02	$6,334.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $31,779.48 / $38,960.64	Facility		$55.00	$31,779.48	$38,960.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,414.88 / $19,981.91 / $25,006.65	Professional		$19,414.88	$19,981.91	$25,006.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,699.04 / $3,425.92 / $4,606.03	Facility		$2,699.04	$3,425.92	$4,606.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,362.76 / $3,477.48 / $7,916.18	Professional		$2,362.76	$3,477.48	$7,916.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,855.37 / $8,855.37 / $8,855.37	Professional		$8,855.37	$8,855.37	$8,855.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,573.71 / $2,675.31 / $3,398.74	Professional		$1,573.71	$2,675.31	$3,398.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,117.94 / $3,170.68 / $9,929.51	Professional		$2,117.94	$3,170.68	$9,929.51