Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $21,379.62	Facility		$4,168.69	$10,471.29	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $10,964.78	Professional		$1,862.09	$2,344.23	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $6,165.95	Professional		$1,698.24	$3,019.95	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $14,791.08	Facility		$63.10	$100.00	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $6,165.95	Professional		$2,290.87	$3,235.94	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $5,495.41	Professional		$2,089.30	$2,691.53	$5,495.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,041.74 / $2,754.23	Professional		$1,096.48	$2,041.74	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,168.69	Professional		$1,698.24	$2,238.72	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $17,782.79 / $17,782.79	Professional		$14,791.08	$17,782.79	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
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 $2,089.30 / $2,818.38 / $5,495.41	Professional		$2,089.30	$2,818.38	$5,495.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,344.23	Professional		$1,380.38	$1,862.09	$2,344.23
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 $1,621.81 / $2,238.72 / $4,466.84	Professional		$1,621.81	$2,238.72	$4,466.84