Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $9,332.54	Professional		$2,238.72	$2,818.38	$9,332.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $7,943.28	Professional		$2,754.23	$3,801.89	$7,943.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $14,791.08	Facility		$61.66	$100.00	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,235.94 / $6,760.83	Professional		$2,187.76	$3,235.94	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $6,456.54	Professional		$2,187.76	$3,019.95	$6,456.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,951.21	Professional		$1,445.44	$2,137.96	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $4,786.30	Professional		$2,041.74	$2,691.53	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $30,199.52	Facility		$54.95	$56.23	$30,199.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $19,952.62 / $19,952.62	Professional		$17,378.01	$19,952.62	$19,952.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $4,786.30	Facility		$2,344.23	$3,019.95	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $6,456.54	Professional		$2,137.96	$3,019.95	$6,456.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $3,090.30	Professional		$1,819.70	$2,238.72	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $6,918.31	Professional		$1,949.84	$2,691.53	$6,918.31