Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,546.60 / $10,051.00 / $21,775.20	Facility		$3,546.60	$10,051.00	$21,775.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,131.82 / $3,731.54 / $20,136.20	Professional		$3,131.82	$3,731.54	$20,136.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,739.86 / $13,419.17 / $28,633.72	Facility		$5,739.86	$13,419.17	$28,633.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,073.24 / $6,429.44 / $12,582.20	Professional		$5,073.24	$6,429.44	$12,582.20
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 $2,344.98 / $3,631.91 / $8,911.19	Professional		$2,344.98	$3,631.91	$8,911.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,676.69 / $4,939.31 / $13,382.88	Professional		$3,676.69	$4,939.31	$13,382.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,686.52 / $2,552.21 / $5,025.89	Professional		$1,686.52	$2,552.21	$5,025.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,828.54 / $5,008.00 / $8,848.11	Professional		$3,828.54	$5,008.00	$8,848.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $60,932.00 / $73,577.28	Facility		$55.00	$60,932.00	$73,577.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,102.02 / $28,223.44 / $36,030.60	Professional		$28,102.02	$28,223.44	$36,030.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,869.30 / $4,826.24 / $6,636.09	Facility		$3,869.30	$4,826.24	$6,636.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,631.78 / $4,939.31 / $10,937.62	Professional		$3,631.78	$4,939.31	$10,937.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,494.14 / $12,494.14 / $12,494.14	Professional		$12,494.14	$12,494.14	$12,494.14
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,686.52 / $2,977.57 / $4,632.07	Professional		$1,686.52	$2,977.57	$4,632.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,067.00 / $20,279.00	Facility		$2,047.00	$5,067.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,219.38 / $4,683.99 / $14,301.93	Professional		$3,219.38	$4,683.99	$14,301.93