Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $22,908.68	Facility		$4,466.84	$10,232.93	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $9,549.93	Professional		$1,584.89	$1,949.84	$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 $2,041.74 / $2,691.53 / $5,370.32	Professional		$2,041.74	$2,691.53	$5,370.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $11,220.18	Facility		$60.26	$100.00	$11,220.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $5,011.87	Professional		$1,819.70	$2,630.27	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $4,677.35	Professional		$1,737.80	$2,238.72	$4,677.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,570.40	Professional		$1,258.93	$1,905.46	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,890.45	Professional		$1,584.89	$2,089.30	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,840.32	Facility		$54.95	$56.23	$28,840.32
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 $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,630.78	Facility		$1,778.28	$2,344.23	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $4,677.35	Professional		$1,737.80	$2,290.87	$4,677.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,691.53	Professional		$1,548.82	$1,905.46	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $38,904.51	Facility		$9,549.93	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,890.45	Professional		$1,445.44	$1,905.46	$3,890.45