Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,197.85 / $8,212.00 / $18,681.00	Facility		$2,197.85	$8,212.00	$18,681.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,833.82 / $2,095.29 / $11,130.70	Professional		$1,833.82	$2,095.29	$11,130.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,216.00 / $21,514.00	Facility		$3,585.00	$11,216.00	$21,514.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,129.90 / $2,895.00 / $6,016.21	Professional		$2,129.90	$2,895.00	$6,016.21
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 $1,585.09 / $2,478.46 / $5,995.73	Professional		$1,585.09	$2,478.46	$5,995.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,030.58 / $2,727.20 / $7,790.02	Professional		$2,030.58	$2,727.20	$7,790.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,767.68 / $2,429.21 / $2,915.06	Professional		$1,767.68	$2,429.21	$2,915.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,138.56 / $2,780.13 / $4,893.53	Professional		$2,138.56	$2,780.13	$4,893.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $23,427.48 / $29,874.12	Facility		$55.00	$23,427.48	$29,874.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,855.03 / $17,855.03 / $17,855.03	Professional		$17,855.03	$17,855.03	$17,855.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,189.25 / $2,829.98 / $4,320.00	Facility		$2,189.25	$2,829.98	$4,320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,049.27 / $2,796.82 / $6,055.97	Professional		$2,049.27	$2,796.82	$6,055.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,906.43 / $6,906.43 / $6,906.43	Professional		$6,906.43	$6,906.43	$6,906.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,767.68 / $2,651.52 / $3,343.78	Professional		$1,767.68	$2,651.52	$3,343.78
United Facility/Professional Facility Modifier Low / Median / High Price $5,799.00 / $12,377.00 / $26,672.00	Facility		$5,799.00	$12,377.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,738.45 / $2,505.12 / $6,807.65	Professional		$1,738.45	$2,505.12	$6,807.65