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 $1,819.70 / $2,238.72 / $7,585.78	Professional		$1,819.70	$2,238.72	$7,585.78
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 $2,691.53 / $3,548.13 / $6,918.31	Professional		$2,691.53	$3,548.13	$6,918.31
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 $1,659.59 / $2,454.71 / $5,754.40	Professional		$1,659.59	$2,454.71	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $5,248.07	Professional		$1,862.09	$2,344.23	$5,248.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,454.71	Professional		$1,737.80	$1,862.09	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,467.37	Professional		$1,584.89	$2,089.30	$3,467.37
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 $19,498.45 / $19,498.45 / $19,498.45	Professional		$19,498.45	$19,498.45	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $3,890.45	Facility		$1,949.84	$2,511.89	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $5,248.07	Professional		$1,819.70	$2,344.23	$5,248.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,715.35	Professional		$1,698.24	$2,454.71	$3,715.35
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 $1,621.81 / $2,238.72 / $4,897.79	Professional		$1,621.81	$2,238.72	$4,897.79