Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,479.00 / $18,681.00	Facility		$2,197.85	$8,479.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,692.75 / $1,953.45 / $10,287.70	Professional		$1,692.75	$1,953.45	$10,287.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,747.00 / $19,696.00	Facility		$3,242.00	$9,747.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.25 / $2,703.31 / $5,563.79	Professional		$1,982.25	$2,703.31	$5,563.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $15,436.09	Facility		$66.00	$100.00	$15,436.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,442.32 / $2,257.17 / $5,455.66	Professional		$1,442.32	$2,257.17	$5,455.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,876.66 / $2,515.64 / $7,208.75	Professional		$1,876.66	$2,515.64	$7,208.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,591.95 / $2,253.67 / $2,704.42	Professional		$1,591.95	$2,253.67	$2,704.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,978.88 / $2,572.54 / $4,532.24	Professional		$1,978.88	$2,572.54	$4,532.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $21,654.36 / $27,639.84	Facility		$55.00	$21,654.36	$27,639.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,283.70 / $14,612.80 / $16,439.78	Professional		$14,283.70	$14,612.80	$16,439.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,028.12 / $2,608.78 / $3,779.10	Facility		$2,028.12	$2,608.78	$3,779.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,887.01 / $2,585.69 / $5,642.02	Professional		$1,887.01	$2,585.69	$5,642.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,383.35 / $6,383.35 / $6,383.35	Professional		$6,383.35	$6,383.35	$6,383.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,591.95 / $2,387.92 / $3,011.37	Professional		$1,591.95	$2,387.92	$3,011.37
United Facility/Professional Facility Modifier Low / Median / High Price $6,821.00 / $11,707.00 / $25,692.00	Facility		$6,821.00	$11,707.00	$25,692.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,598.19 / $2,330.40 / $6,424.34	Professional		$1,598.19	$2,330.40	$6,424.34