Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.09 / $10,070.00 / $22,788.00	Facility		$3,546.09	$10,070.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,116.89 / $3,607.78 / $21,186.10	Professional		$3,116.89	$3,607.78	$21,186.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,564.55 / $13,419.17 / $28,633.72	Facility		$5,564.55	$13,419.17	$28,633.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,798.68 / $6,289.52 / $12,092.67	Professional		$4,798.68	$6,289.52	$12,092.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $13,558.34	Facility		$63.50	$100.00	$13,558.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,614.56 / $4,077.97 / $9,889.74	Professional		$2,614.56	$4,077.97	$9,889.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,379.27 / $5,006.63 / $13,466.85	Professional		$3,379.27	$5,006.63	$13,466.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,953.46 / $4,469.45 / $5,441.66	Professional		$2,953.46	$4,469.45	$5,441.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,081.25 / $5,264.43 / $9,402.91	Professional		$4,081.25	$5,264.43	$9,402.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $47,455.44 / $57,626.04	Facility		$55.00	$47,455.44	$57,626.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,918.24 / $29,534.24 / $37,356.15	Professional		$28,918.24	$29,534.24	$37,356.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,145.99 / $4,988.95 / $6,921.20	Facility		$3,145.99	$4,988.95	$6,921.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,425.16 / $5,100.76 / $11,180.93	Professional		$3,425.16	$5,100.76	$11,180.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,145.60 / $13,145.60 / $13,145.60	Professional		$13,145.60	$13,145.60	$13,145.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,953.46 / $4,430.18 / $5,586.82	Professional		$2,953.46	$4,430.18	$5,586.82
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 $3,218.49 / $4,700.97 / $12,747.28	Professional		$3,218.49	$4,700.97	$12,747.28