Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,211.22 / $10,061.00 / $20,509.00	Facility		$3,211.22	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,037.31 / $3,492.90 / $13,429.50	Professional		$3,037.31	$3,492.90	$13,429.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,704.25 / $14,348.00 / $32,242.00	Facility		$4,704.25	$14,348.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,097.35 / $5,639.64 / $10,941.78	Professional		$4,097.35	$5,639.64	$10,941.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $11,798.98	Facility		$63.50	$100.00	$11,798.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,388.89 / $3,613.97 / $8,052.65	Professional		$2,388.89	$3,613.97	$8,052.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,264.14 / $4,162.50 / $10,619.48	Professional		$3,264.14	$4,162.50	$10,619.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,827.25 / $3,435.24 / $4,240.88	Professional		$2,827.25	$3,435.24	$4,240.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,091.72 / $3,962.26 / $5,778.29	Professional		$3,091.72	$3,962.26	$5,778.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $80,343.89 / $99,266.44	Facility		$55.00	$80,343.89	$99,266.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,452.08 / $24,013.92 / $28,408.28	Professional		$23,452.08	$24,013.92	$28,408.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,205.96 / $4,044.13 / $5,534.72	Facility		$3,205.96	$4,044.13	$5,534.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,301.88 / $4,162.50 / $9,682.46	Professional		$3,301.88	$4,162.50	$9,682.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,818.32 / $10,818.32 / $10,818.32	Professional		$10,818.32	$10,818.32	$10,818.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,827.25 / $3,675.42 / $4,806.32	Professional		$2,827.25	$3,675.42	$4,806.32
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $4,080.21 / $8,858.43	Professional		$2,871.00	$4,080.21	$8,858.43