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 $1,778.28 / $2,290.87 / $8,317.64	Professional		$1,778.28	$2,290.87	$8,317.64
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 $2,511.89 / $3,548.13 / $6,606.93	Professional		$2,511.89	$3,548.13	$6,606.93
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 $1,621.81 / $2,398.83 / $5,495.41	Professional		$1,621.81	$2,398.83	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $5,128.61	Professional		$1,819.70	$2,290.87	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $2,344.23	Professional		$1,548.82	$1,819.70	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,388.44	Professional		$1,548.82	$1,995.26	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $53,703.18	Facility		$54.95	$56.23	$53,703.18
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 $1,905.46 / $2,454.71 / $3,890.45	Facility		$1,905.46	$2,454.71	$3,890.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $5,128.61	Professional		$1,737.80	$2,290.87	$5,128.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,388.44	Professional		$1,548.82	$2,187.76	$3,388.44
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 $1,584.89 / $2,238.72 / $4,897.79	Professional		$1,584.89	$2,238.72	$4,897.79