Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,167.75 / $10,061.00 / $20,509.00	Facility		$3,167.75	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,748.98 / $3,305.73 / $17,981.50	Professional		$2,748.98	$3,305.73	$17,981.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $12,360.00 / $23,933.00	Facility		$4,597.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,631.82 / $5,151.91 / $10,366.12	Professional		$3,631.82	$5,151.91	$10,366.12
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 $2,019.41 / $3,140.98 / $7,813.61	Professional		$2,019.41	$3,140.98	$7,813.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,935.64 / $4,317.71 / $12,180.99	Professional		$2,935.64	$4,317.71	$12,180.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,379.74 / $2,087.96 / $4,333.14	Professional		$1,379.74	$2,087.96	$4,333.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,312.01 / $4,277.35 / $7,609.56	Professional		$3,312.01	$4,277.35	$7,609.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $51,661.60 / $63,838.08	Facility		$55.00	$51,661.60	$63,838.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,402.00 / $25,026.08 / $29,785.05	Professional		$24,402.00	$25,026.08	$29,785.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,450.96 / $4,041.62 / $5,690.44	Facility		$2,450.96	$4,041.62	$5,690.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,935.64 / $4,317.71 / $9,712.18	Professional		$2,935.64	$4,317.71	$9,712.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,157.20 / $11,157.20 / $11,157.20	Professional		$11,157.20	$11,157.20	$11,157.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,379.74 / $2,435.94 / $3,999.57	Professional		$1,379.74	$2,435.94	$3,999.57
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 $2,761.56 / $3,936.66 / $10,872.36	Professional		$2,761.56	$3,936.66	$10,872.36