Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,432.79 / $10,061.00 / $22,788.00	Facility		$3,432.79	$10,061.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,114.19 / $3,432.79 / $25,186.60	Professional		$3,114.19	$3,432.79	$25,186.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,104.49 / $14,752.00 / $32,242.00	Facility		$5,104.49	$14,752.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,601.89 / $6,754.46 / $12,941.84	Professional		$4,601.89	$6,754.46	$12,941.84
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 $2,751.92 / $4,233.66 / $9,859.58	Professional		$2,751.92	$4,233.66	$9,859.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,408.51 / $7,408.51 / $10,684.73	Professional		$7,408.51	$7,408.51	$10,684.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,418.83 / $4,311.42 / $6,467.13	Professional		$3,418.83	$4,311.42	$6,467.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,497.82 / $5,649.04 / $8,391.08	Professional		$4,497.82	$5,649.04	$8,391.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $94,040.94 / $116,241.09	Facility		$55.00	$94,040.94	$116,241.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36,883.33 / $37,893.94 / $41,173.58	Professional		$36,883.33	$37,893.94	$41,173.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,840.20 / $5,638.02 / $8,023.28	Facility		$3,840.20	$5,638.02	$8,023.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,249.85 / $5,663.84 / $12,993.21	Professional		$4,249.85	$5,663.84	$12,993.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,627.83 / $15,627.83 / $15,627.83	Professional		$15,627.83	$15,627.83	$15,627.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,418.83 / $4,786.35 / $6,467.13	Professional		$3,418.83	$4,786.35	$6,467.13
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 $3,715.10 / $5,394.25 / $13,780.09	Professional		$3,715.10	$5,394.25	$13,780.09