Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $7,762.47	Professional		$1,698.24	$2,137.96	$7,762.47
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 $2,344.23 / $3,311.31 / $6,456.54	Professional		$2,344.23	$3,311.31	$6,456.54
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 $1,698.24 / $2,511.89 / $5,754.40	Professional		$1,698.24	$2,511.89	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,187.76 / $4,786.30	Professional		$1,778.28	$2,187.76	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,344.23	Professional		$1,737.80	$1,862.09	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,801.89	Professional		$1,479.11	$1,905.46	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $50,118.72	Facility		$54.95	$56.23	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,620.87	Professional		$18,197.01	$18,197.01	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,801.89	Facility		$1,819.70	$2,398.83	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $4,786.30	Professional		$1,737.80	$2,187.76	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $3,981.07	Professional		$1,584.89	$2,630.27	$3,981.07
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 $1,479.11 / $2,089.30 / $4,570.88	Professional		$1,479.11	$2,089.30	$4,570.88