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 $2,818.38 / $3,548.13 / $12,882.50	Professional		$2,818.38	$3,548.13	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,897.79 / $9,332.54	Professional		$3,388.44	$4,897.79	$9,332.54
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 $3,235.94 / $4,677.35 / $9,120.11	Professional		$3,235.94	$4,677.35	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $8,317.64	Professional		$2,951.21	$3,981.07	$8,317.64
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $4,677.35	Professional		$2,570.40	$3,467.37	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $6,760.83	Professional		$2,818.38	$3,801.89	$6,760.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,915.35	Facility		$54.95	$56.23	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $28,840.32 / $28,840.32	Professional		$24,547.09	$28,840.32	$28,840.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
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 $2,951.21 / $4,073.80 / $8,511.38	Professional		$2,951.21	$4,073.80	$8,511.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,890.45 / $5,495.41	Professional		$2,818.38	$3,890.45	$5,495.41
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 $2,511.89 / $3,235.94 / $7,079.46	Professional		$2,511.89	$3,235.94	$7,079.46