Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.66 / $10,061.00 / $22,788.00	Facility		$4,073.66	$10,061.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,598.42 / $4,280.42 / $23,495.40	Professional		$3,598.42	$4,280.42	$23,495.40
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 $5,778.97 / $7,300.98 / $14,463.27	Professional		$5,778.97	$7,300.98	$14,463.27
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 $2,473.19 / $3,916.24 / $9,712.28	Professional		$2,473.19	$3,916.24	$9,712.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,041.45 / $5,655.55 / $15,361.29	Professional		$4,041.45	$5,655.55	$15,361.29
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,685.40 / $4,063.80 / $5,757.82	Professional		$2,685.40	$4,063.80	$5,757.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,394.55 / $5,750.99 / $10,152.03	Professional		$4,394.55	$5,750.99	$10,152.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $70,039.36 / $84,546.56	Facility		$55.00	$70,039.36	$84,546.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,338.68 / $32,424.56 / $41,420.69	Professional		$32,338.68	$32,424.56	$41,420.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,822.15 / $5,414.66 / $7,529.91	Facility		$3,822.15	$5,414.66	$7,529.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,053.38 / $5,666.51 / $12,566.68	Professional		$4,053.38	$5,666.51	$12,566.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,578.46 / $14,578.46 / $14,578.46	Professional		$14,578.46	$14,578.46	$14,578.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,685.40 / $4,402.45 / $5,306.27	Professional		$2,685.40	$4,402.45	$5,306.27
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 $3,835.99 / $5,414.92 / $16,859.43	Professional		$3,835.99	$5,414.92	$16,859.43