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 $2,754.23 / $3,467.37 / $12,882.50	Professional		$2,754.23	$3,467.37	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $9,549.93	Professional		$3,715.35	$5,011.87	$9,549.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $17,782.79	Facility		$63.10	$100.00	$17,782.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $9,332.54	Professional		$3,388.44	$4,786.30	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $8,317.64	Professional		$3,090.30	$3,981.07	$8,317.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $4,570.88	Professional		$2,454.71	$3,388.44	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,606.93	Professional		$2,754.23	$3,630.78	$6,606.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $26,302.68	Facility		$1,995.26	$1,995.26	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $28,183.83 / $28,183.83	Professional		$23,442.29	$28,183.83	$28,183.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $6,165.95	Facility		$3,162.28	$3,981.07	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,168.69 / $8,317.64	Professional		$3,090.30	$4,168.69	$8,317.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $5,248.07	Professional		$2,754.23	$3,715.35	$5,248.07
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 $2,454.71 / $3,311.31 / $7,079.46	Professional		$2,454.71	$3,311.31	$7,079.46