Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $12,302.69 / $20,892.96	Facility		$4,265.80	$12,302.69	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,090.30	Professional		$1,819.70	$2,454.71	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $15,135.61 / $15,488.17	Facility		$7,585.78	$15,135.61	$15,488.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,981.07	Professional		$1,513.56	$1,905.46	$3,981.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $7,079.46 / $29,512.09	Facility		$69.18	$7,079.46	$29,512.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $6,025.60	Professional		$1,778.28	$2,344.23	$6,025.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $5,128.61 / $10,232.93	Facility		$1,995.26	$5,128.61	$10,232.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,073.80	Professional		$2,398.83	$3,019.95	$4,073.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,311.31 / $5,248.07	Professional		$2,754.23	$3,311.31	$5,248.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $22,908.68 / $22,908.68	Professional		$15,135.61	$22,908.68	$22,908.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $7,943.28	Facility		$2,344.23	$3,630.78	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $4,365.16	Professional		$3,019.95	$3,311.31	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $36,307.81	Professional		$2,398.83	$3,019.95	$36,307.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,019.95 / $3,019.95	Facility		$1,258.93	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $5,754.40	Professional		$1,258.93	$1,258.93	$5,754.40