Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,380.26 / $10,061.00 / $21,960.90	Facility		$3,380.26	$10,061.00	$21,960.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,091.75 / $3,555.51 / $17,750.90	Professional		$3,091.75	$3,555.51	$17,750.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,990.00 / $14,273.00 / $29,600.00	Facility		$4,990.00	$14,273.00	$29,600.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,495.84 / $6,516.75 / $12,338.08	Professional		$4,495.84	$6,516.75	$12,338.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $98.70 / $13,719.51	Facility		$63.50	$98.70	$13,719.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,399.48 / $3,668.66 / $8,272.52	Professional		$2,399.48	$3,668.66	$8,272.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,455.52 / $4,262.31 / $10,769.06	Professional		$3,455.52	$4,262.31	$10,769.06
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,886.81 / $3,508.65 / $4,330.22	Professional		$2,886.81	$3,508.65	$4,330.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,157.79 / $4,057.37 / $5,917.00	Professional		$3,157.79	$4,057.37	$5,917.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $82,630.60 / $101,979.80	Facility		$55.00	$82,630.60	$101,979.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,980.48 / $24,605.76 / $29,306.18	Professional		$23,980.48	$24,605.76	$29,306.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,291.46 / $4,140.31 / $5,634.45	Facility		$3,291.46	$4,140.31	$5,634.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,459.47 / $4,271.54 / $9,931.99	Professional		$3,459.47	$4,271.54	$9,931.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,014.10 / $11,014.10 / $11,014.10	Professional		$11,014.10	$11,014.10	$11,014.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,886.81 / $3,752.86 / $4,907.58	Professional		$2,886.81	$3,752.86	$4,907.58
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 $2,937.13 / $4,202.14 / $9,305.15	Professional		$2,937.13	$4,202.14	$9,305.15