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 $2,511.89 / $3,235.94 / $11,481.54	Professional		$2,511.89	$3,235.94	$11,481.54
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 $3,548.13 / $4,677.35 / $9,332.54	Professional		$3,548.13	$4,677.35	$9,332.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $7,413.10	Professional		$2,187.76	$3,162.28	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $7,244.36	Professional		$2,511.89	$3,162.28	$7,244.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $3,388.44	Professional		$2,511.89	$2,570.40	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,786.30	Professional		$2,187.76	$2,884.03	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $54,954.09	Facility		$54.95	$56.23	$54,954.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Professional		$23,442.29	$23,442.29	$23,442.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $5,011.87	Facility		$2,511.89	$3,311.31	$5,011.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $7,244.36	Professional		$2,454.71	$3,162.28	$7,244.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $5,370.32	Professional		$2,344.23	$3,548.13	$5,370.32
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 $2,137.96 / $3,090.30 / $6,760.83	Professional		$2,137.96	$3,090.30	$6,760.83