Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.66 / $10,061.00 / $20,509.00	Facility		$1,793.66	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,498.77 / $1,793.66 / $10,739.20	Professional		$1,498.77	$1,793.66	$10,739.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,437.00 / $11,223.00 / $26,368.88	Facility		$4,437.00	$11,223.00	$26,368.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,512.15 / $3,292.62 / $6,330.62	Professional		$2,512.15	$3,292.62	$6,330.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,331.21 / $2,048.39 / $5,035.39	Professional		$1,331.21	$2,048.39	$5,035.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,903.02 / $2,625.26 / $6,917.94	Professional		$1,903.02	$2,625.26	$6,917.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,382.72 / $2,092.46 / $2,721.68	Professional		$1,382.72	$2,092.46	$2,721.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,061.23 / $2,692.61 / $4,769.72	Professional		$2,061.23	$2,692.61	$4,769.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $32,665.76 / $39,499.36	Facility		$55.00	$32,665.76	$39,499.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,020.94 / $15,158.08 / $19,310.55	Professional		$15,020.94	$15,158.08	$19,310.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,079.40 / $2,617.42 / $3,847.05	Facility		$2,079.40	$2,617.42	$3,847.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,856.40 / $2,650.49 / $5,868.30	Professional		$1,856.40	$2,650.49	$5,868.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,663.48 / $6,663.48 / $6,663.48	Professional		$6,663.48	$6,663.48	$6,663.48
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,382.72 / $2,086.71 / $2,615.58	Professional		$1,382.72	$2,086.71	$2,615.58
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 $1,718.28 / $2,483.59 / $6,492.07	Professional		$1,718.28	$2,483.59	$6,492.07