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 / $23,988.33	Facility		$4,466.84	$10,715.19	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $14,454.40	Professional		$3,090.30	$3,801.89	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,623.41 / $11,481.54	Professional		$3,981.07	$5,623.41	$11,481.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $12,882.50	Facility		$60.26	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $8,912.51	Professional		$2,511.89	$3,715.35	$8,912.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $8,912.51	Professional		$3,090.30	$3,890.45	$8,912.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,801.89	Professional		$1,819.70	$2,290.87	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $6,918.31	Professional		$2,691.53	$3,548.13	$6,918.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $74,131.02	Facility		$54.95	$56.23	$74,131.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Professional		$26,915.35	$26,915.35	$26,915.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $5,623.41	Facility		$3,162.28	$4,073.80	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,890.45 / $8,912.51	Professional		$3,019.95	$3,890.45	$8,912.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $3,890.45	Professional		$2,290.87	$2,951.21	$3,890.45
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 $2,691.53 / $3,801.89 / $8,317.64	Professional		$2,691.53	$3,801.89	$8,317.64