Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $23,988.33	Facility		$4,466.84	$10,471.29	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $7,762.47	Professional		$1,698.24	$2,137.96	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $6,456.54	Professional		$2,454.71	$3,311.31	$6,456.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $9,332.54	Facility		$60.26	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,754.40	Professional		$1,698.24	$2,454.71	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $4,786.30	Professional		$1,737.80	$2,187.76	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,398.83	Professional		$1,778.28	$1,905.46	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,162.28	Professional		$1,513.56	$1,949.84	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $40,738.03	Facility		$54.95	$56.23	$40,738.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Professional		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,715.35	Facility		$1,819.70	$2,344.23	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,786.30	Professional		$1,698.24	$2,187.76	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $4,073.80	Professional		$1,621.81	$2,691.53	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,570.88	Professional		$1,479.11	$2,089.30	$4,570.88