Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,416.44 / $10,061.00 / $20,509.00	Facility		$2,416.44	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,022.10 / $2,416.44 / $13,008.90	Professional		$2,022.10	$2,416.44	$13,008.90
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 $3,267.35 / $4,251.76 / $8,233.71	Professional		$3,267.35	$4,251.76	$8,233.71
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 $1,768.80 / $2,746.04 / $6,690.59	Professional		$1,768.80	$2,746.04	$6,690.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,430.98 / $3,214.93 / $8,824.34	Professional		$2,430.98	$3,214.93	$8,824.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,896.50 / $2,741.27 / $3,289.52	Professional		$1,896.50	$2,741.27	$3,289.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,494.06 / $3,258.86 / $5,769.90	Professional		$2,494.06	$3,258.86	$5,769.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $39,557.28 / $47,823.36	Facility		$55.00	$39,557.28	$47,823.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,171.24 / $18,351.12 / $23,385.83	Professional		$18,171.24	$18,351.12	$23,385.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,622.68 / $3,264.57 / $4,529.27	Facility		$2,622.68	$3,264.57	$4,529.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,409.11 / $3,345.98 / $7,106.68	Professional		$2,409.11	$3,345.98	$7,106.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,071.75 / $8,071.75 / $8,071.75	Professional		$8,071.75	$8,071.75	$8,071.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,896.50 / $2,844.74 / $3,587.45	Professional		$1,896.50	$2,844.74	$3,587.45
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 $2,108.13 / $3,023.84 / $8,337.18	Professional		$2,108.13	$3,023.84	$8,337.18