Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,560.00 / $19,860.00	Facility		$2,616.00	$9,560.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,607.20 / $1,777.13 / $9,780.21	Professional		$1,607.20	$1,777.13	$9,780.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,860.43 / $2,528.73 / $5,291.47	Professional		$1,860.43	$2,528.73	$5,291.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,939.24	Facility		$66.00	$100.00	$11,939.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,357.83 / $2,125.80 / $5,136.07	Professional		$1,357.83	$2,125.80	$5,136.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,784.10 / $2,396.17 / $6,843.76	Professional		$1,784.10	$2,396.17	$6,843.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,659.22 / $2,577.38	Professional		$1,096.42	$1,659.22	$2,577.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,882.59 / $2,447.37 / $4,314.42	Professional		$1,882.59	$2,447.37	$4,314.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $13,960.05	Facility		$2,000.00	$2,000.00	$13,960.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,283.70 / $15,632.10	Professional		$14,283.70	$14,283.70	$15,632.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,930.99 / $2,474.42 / $3,768.00	Facility		$1,930.99	$2,474.42	$3,768.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,779.75 / $2,458.01 / $5,294.98	Professional		$1,779.75	$2,458.01	$5,294.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,068.45 / $6,068.45 / $6,068.45	Professional		$6,068.45	$6,068.45	$6,068.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.42 / $1,863.92 / $2,384.71	Professional		$1,096.42	$1,863.92	$2,384.71
United Facility/Professional Facility Modifier Low / Median / High Price $5,835.00 / $12,377.00 / $26,672.00	Facility		$5,835.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,523.20 / $2,172.21 / $5,502.38	Professional		$1,523.20	$2,172.21	$5,502.38