Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,096.25 / $10,061.00 / $20,509.00	Facility		$3,096.25	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,561.59 / $3,096.25 / $16,598.80	Professional		$2,561.59	$3,096.25	$16,598.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,540.00 / $13,419.17 / $28,633.72	Facility		$5,540.00	$13,419.17	$28,633.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,117.37 / $5,303.83 / $10,206.58	Professional		$4,117.37	$5,303.83	$10,206.58
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 $2,097.41 / $3,263.11 / $7,933.60	Professional		$2,097.41	$3,263.11	$7,933.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,052.79 / $4,058.13 / $10,957.13	Professional		$3,052.79	$4,058.13	$10,957.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,040.58 / $3,088.00 / $4,207.75	Professional		$2,040.58	$3,088.00	$4,207.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,155.81 / $4,107.76 / $7,312.34	Professional		$3,155.81	$4,107.76	$7,312.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $49,560.00 / $60,413.12	Facility		$55.00	$49,560.00	$60,413.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,970.64 / $23,209.12 / $29,274.90	Professional		$22,970.64	$23,209.12	$29,274.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,252.27 / $4,082.27 / $5,610.34	Facility		$3,252.27	$4,082.27	$5,610.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,052.79 / $4,136.04 / $9,138.18	Professional		$3,052.79	$4,136.04	$9,138.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,299.29 / $10,299.29 / $10,299.29	Professional		$10,299.29	$10,299.29	$10,299.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,040.58 / $3,201.89 / $3,880.39	Professional		$2,040.58	$3,201.89	$3,880.39
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 $2,670.37 / $3,757.94 / $10,785.42	Professional		$2,670.37	$3,757.94	$10,785.42