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 / $2,238.72 / $9,549.93	Professional		$1,778.28	$2,238.72	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $6,165.95	Professional		$2,344.23	$3,162.28	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $12,882.50	Facility		$63.10	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $5,888.44	Professional		$2,089.30	$3,019.95	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $5,248.07	Professional		$1,995.26	$2,570.40	$5,248.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,818.38	Professional		$1,479.11	$2,089.30	$2,818.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,168.69	Professional		$1,698.24	$2,238.72	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,054.61	Facility		$54.95	$56.23	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,952.62	Professional		$19,498.45	$19,498.45	$19,952.62
Molina 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
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,265.80	Facility		$1,995.26	$2,570.40	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $5,370.32	Professional		$1,905.46	$2,630.27	$5,370.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,162.28	Professional		$1,698.24	$2,238.72	$3,162.28
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 $1,621.81 / $2,137.96 / $4,570.88	Professional		$1,621.81	$2,137.96	$4,570.88