Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,651.10 / $10,061.00 / $20,509.00	Facility		$2,651.10	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,217.16 / $2,651.10 / $14,216.10	Professional		$2,217.16	$2,651.10	$14,216.10
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 $3,587.57 / $4,667.32 / $9,040.68	Professional		$3,587.57	$4,667.32	$9,040.68
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 $1,981.08 / $3,079.64 / $7,493.57	Professional		$1,981.08	$3,079.64	$7,493.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,632.30 / $3,512.80 / $9,770.99	Professional		$2,632.30	$3,512.80	$9,770.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,179.07 / $2,992.61 / $3,591.13	Professional		$2,179.07	$2,992.61	$3,591.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,723.01 / $3,558.03 / $6,299.37	Professional		$2,723.01	$3,558.03	$6,299.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $43,190.24 / $52,221.12	Facility		$55.00	$43,190.24	$52,221.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,854.24 / $20,038.56 / $25,532.40	Professional		$19,854.24	$20,038.56	$25,532.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,846.42 / $3,587.92 / $5,072.83	Facility		$2,846.42	$3,587.92	$5,072.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,632.30 / $3,655.97 / $7,757.80	Professional		$2,632.30	$3,655.97	$7,757.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,820.79 / $8,820.79 / $8,820.79	Professional		$8,820.79	$8,820.79	$8,820.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,179.07 / $3,268.61 / $4,121.97	Professional		$2,179.07	$3,268.61	$4,121.97
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 $2,304.96 / $3,367.30 / $8,593.95	Professional		$2,304.96	$3,367.30	$8,593.95