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 $1,862.09 / $2,454.71 / $10,232.93	Professional		$1,862.09	$2,454.71	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $8,709.64	Facility		$2,398.83	$3,019.95	$8,709.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,884.03 / $6,025.60	Professional		$1,258.93	$2,884.03	$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 $1,659.59 / $2,344.23 / $5,011.87	Professional		$1,659.59	$2,344.23	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $5,370.32	Professional		$1,862.09	$2,570.40	$5,370.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,344.23 / $3,235.94	Professional		$1,122.02	$2,344.23	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,677.35	Professional		$1,949.84	$2,630.27	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $22,908.68	Facility		$5,011.87	$5,011.87	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $20,417.38 / $20,417.38	Professional		$15,848.93	$20,417.38	$20,417.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
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 / $5,754.40	Professional		$1,778.28	$2,630.27	$5,754.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $2,187.76	Professional		$1,122.02	$1,905.46	$2,187.76
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 $1,698.24 / $2,238.72 / $4,570.88	Professional		$1,698.24	$2,238.72	$4,570.88