Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,758.97 / $10,051.00 / $20,509.00	Facility		$1,758.97	$10,051.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,441.42 / $1,758.97 / $9,829.82	Professional		$1,441.42	$1,758.97	$9,829.82
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 $2,348.73 / $3,078.43 / $5,918.80	Professional		$2,348.73	$3,078.43	$5,918.80
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 $1,295.22 / $2,009.74 / $4,899.28	Professional		$1,295.22	$2,009.74	$4,899.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,703.42 / $2,417.76 / $6,574.11	Professional		$1,703.42	$2,417.76	$6,574.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,472.82 / $2,085.69 / $2,502.84	Professional		$1,472.82	$2,085.69	$2,502.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,890.94 / $2,468.58 / $4,377.82	Professional		$1,890.94	$2,468.58	$4,377.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,432.56 / $27,163.56	Facility		$55.00	$22,432.56	$27,163.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,700.10 / $13,902.00 / $17,676.59	Professional		$13,700.10	$13,902.00	$17,676.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,849.75 / $2,387.90 / $3,436.77	Facility		$1,849.75	$2,387.90	$3,436.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,707.13 / $2,443.17 / $5,383.61	Professional		$1,707.13	$2,443.17	$5,383.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,099.22 / $6,099.22 / $6,099.22	Professional		$6,099.22	$6,099.22	$6,099.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,472.82 / $2,209.23 / $2,786.01	Professional		$1,472.82	$2,209.23	$2,786.01
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 $1,512.41 / $2,157.25 / $6,377.25	Professional		$1,512.41	$2,157.25	$6,377.25