Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $22,387.21	Facility		$3,715.35	$9,549.93	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $9,549.93	Professional		$1,778.28	$2,187.76	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $6,025.60	Professional		$2,238.72	$3,019.95	$6,025.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $100.00 / $11,481.54	Facility		$64.57	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $5,888.44	Professional		$2,187.76	$3,162.28	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $5,128.61	Professional		$1,995.26	$2,630.27	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $2,570.40	Professional		$1,096.48	$1,905.46	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,890.45	Professional		$1,548.82	$2,041.74	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,782.79	Facility		$54.95	$56.23	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,168.69	Facility		$1,905.46	$2,511.89	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $5,128.61	Professional		$1,995.26	$2,630.27	$5,128.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $2,344.23	Professional		$1,380.38	$1,737.80	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,265.80	Professional		$1,548.82	$2,089.30	$4,265.80