Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,078.80 / $10,061.00 / $20,509.00	Facility		$2,078.80	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,823.02 / $2,078.80 / $12,725.80	Professional		$1,823.02	$2,078.80	$12,725.80
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 $2,814.76 / $3,689.25 / $7,093.19	Professional		$2,814.76	$3,689.25	$7,093.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,493.83 / $2,298.84 / $5,651.70	Professional		$1,493.83	$2,298.84	$5,651.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,095.42 / $3,056.83 / $8,198.59	Professional		$2,095.42	$3,056.83	$8,198.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,733.80 / $2,623.75 / $3,220.90	Professional		$1,733.80	$2,623.75	$3,220.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,440.96 / $3,189.18 / $5,647.60	Professional		$2,440.96	$3,189.18	$5,647.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $38,703.04 / $46,807.68	Facility		$55.00	$38,703.04	$46,807.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,770.43 / $17,960.64 / $22,880.18	Professional		$17,770.43	$17,960.64	$22,880.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,401.44 / $3,080.51 / $4,200.00	Facility		$2,401.44	$3,080.51	$4,200.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,095.42 / $3,123.56 / $6,953.52	Professional		$2,095.42	$3,123.56	$6,953.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,896.15 / $7,896.15 / $7,896.15	Professional		$7,896.15	$7,896.15	$7,896.15
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,733.80 / $2,600.69 / $3,279.69	Professional		$1,733.80	$2,600.69	$3,279.69
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 $1,891.93 / $2,829.61 / $8,254.24	Professional		$1,891.93	$2,829.61	$8,254.24