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 $3,311.31 / $4,073.80 / $14,454.40	Professional		$3,311.31	$4,073.80	$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 $4,897.79 / $6,918.31 / $12,882.50	Professional		$4,897.79	$6,918.31	$12,882.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $11,220.18	Professional		$3,467.37	$4,897.79	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $10,232.93	Professional		$3,548.13	$4,365.16	$10,232.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,311.31 / $4,265.80	Professional		$2,951.21	$3,311.31	$4,265.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $5,623.41	Professional		$2,754.23	$3,630.78	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $97,723.72	Facility		$54.95	$56.23	$97,723.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $28,840.32 / $28,840.32	Professional		$23,442.29	$28,840.32	$28,840.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $6,309.57	Facility		$3,235.94	$4,265.80	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $10,232.93	Professional		$3,548.13	$4,466.84	$10,232.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,630.78 / $5,011.87	Professional		$2,630.27	$3,630.78	$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 $2,884.03 / $4,365.16 / $9,549.93	Professional		$2,884.03	$4,365.16	$9,549.93