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 $2,951.21 / $3,801.89 / $12,882.50	Professional		$2,951.21	$3,801.89	$12,882.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,248.07 / $10,471.29	Professional		$3,630.78	$5,248.07	$10,471.29
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 $2,344.23 / $3,388.44 / $8,128.31	Professional		$2,344.23	$3,388.44	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,630.78 / $8,128.31	Professional		$2,951.21	$3,630.78	$8,128.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,801.89	Professional		$2,344.23	$2,951.21	$3,801.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $5,128.61	Professional		$2,511.89	$3,311.31	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $70,794.58	Facility		$54.95	$56.23	$70,794.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $25,703.96 / $25,703.96	Professional		$24,547.09	$25,703.96	$25,703.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $5,248.07	Facility		$2,818.38	$3,801.89	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $8,128.31	Professional		$2,818.38	$3,630.78	$8,128.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,011.87	Professional		$2,454.71	$3,388.44	$5,011.87
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 $2,511.89 / $3,630.78 / $7,943.28	Professional		$2,511.89	$3,630.78	$7,943.28