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 / $21,379.62	Facility		$4,466.84	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $8,128.31	Professional		$1,698.24	$2,238.72	$8,128.31
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 $1,949.84 / $2,691.53 / $5,623.41	Professional		$1,949.84	$2,691.53	$5,623.41
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 $1,659.59 / $2,344.23 / $4,897.79	Professional		$1,659.59	$2,344.23	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $5,128.61	Professional		$1,905.46	$2,454.71	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,137.96 / $2,884.03	Professional		$1,380.38	$2,137.96	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,365.16	Professional		$1,778.28	$2,398.83	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $25,703.96	Facility		$5,011.87	$5,011.87	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $18,620.87 / $18,620.87	Professional		$14,454.40	$18,620.87	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,073.80	Facility		$1,949.84	$2,511.89	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $5,248.07	Professional		$1,819.70	$2,511.89	$5,248.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $2,398.83	Professional		$1,380.38	$1,949.84	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
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