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 / $2,884.03 / $9,120.11	Professional		$2,238.72	$2,884.03	$9,120.11
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 $3,019.95 / $4,073.80 / $8,317.64	Professional		$3,019.95	$4,073.80	$8,317.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $11,481.54	Facility		$60.26	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $6,606.93	Professional		$1,905.46	$2,818.38	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $6,309.57	Professional		$2,238.72	$2,884.03	$6,309.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,754.23	Professional		$1,445.44	$1,819.70	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,897.79	Professional		$1,905.46	$2,511.89	$4,897.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $53,703.18	Facility		$54.95	$56.23	$53,703.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $22,908.68	Professional		$21,379.62	$21,379.62	$22,908.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,365.16	Facility		$2,344.23	$2,951.21	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $6,309.57	Professional		$2,187.76	$2,818.38	$6,309.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,162.28	Professional		$1,819.70	$2,187.76	$3,162.28
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 $1,949.84 / $2,754.23 / $6,025.60	Professional		$1,949.84	$2,754.23	$6,025.60