Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,999.04 / $10,061.00 / $22,788.00	Facility		$3,999.04	$10,061.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,746.23 / $4,208.96 / $22,831.80	Professional		$3,746.23	$4,208.96	$22,831.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $13,419.17 / $28,633.72	Facility		$5,863.00	$13,419.17	$28,633.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,742.75 / $7,464.44 / $14,471.73	Professional		$5,742.75	$7,464.44	$14,471.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $16,381.88	Facility		$63.50	$100.00	$16,381.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,174.51 / $4,932.08 / $12,007.80	Professional		$3,174.51	$4,932.08	$12,007.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,158.89 / $5,549.60 / $15,699.42	Professional		$4,158.89	$5,549.60	$15,699.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,445.64 / $4,663.10 / $5,595.73	Professional		$3,445.64	$4,663.10	$5,595.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,269.30 / $5,586.69 / $9,863.48	Professional		$4,269.30	$5,586.69	$9,863.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $68,026.72 / $82,115.20	Facility		$55.00	$68,026.72	$82,115.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,397.10 / $31,492.08 / $40,230.68	Professional		$31,397.10	$31,492.08	$40,230.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,368.00 / $5,422.46 / $7,501.02	Facility		$4,368.00	$5,422.46	$7,501.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,158.89 / $5,732.35 / $12,205.84	Professional		$4,158.89	$5,732.35	$12,205.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,166.68 / $14,166.68 / $14,166.68	Professional		$14,166.68	$14,166.68	$14,166.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,445.64 / $5,156.95 / $6,517.83	Professional		$3,445.64	$5,156.95	$6,517.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,728.45 / $5,232.60 / $16,386.77	Professional		$3,728.45	$5,232.60	$16,386.77