Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $10,232.93	Professional		$1,778.28	$2,454.71	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,754.23 / $6,025.60	Professional		$1,737.80	$2,754.23	$6,025.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,290.87 / $5,011.87	Professional		$1,621.81	$2,290.87	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,370.32	Professional		$1,778.28	$2,570.40	$5,370.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,398.83 / $3,235.94	Professional		$1,148.15	$2,398.83	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $4,786.30	Professional		$1,995.26	$2,691.53	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $23,442.29	Facility		$5,011.87	$5,011.87	$23,442.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $20,892.96 / $20,892.96	Professional		$16,595.87	$20,892.96	$20,892.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $4,265.80	Facility		$2,137.96	$2,754.23	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $5,888.44	Professional		$1,778.28	$2,630.27	$5,888.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,949.84 / $2,187.76	Professional		$1,148.15	$1,949.84	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $18,197.01 / $38,904.51	Facility		$9,772.37	$18,197.01	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,570.88	Professional		$1,698.24	$2,290.87	$4,570.88