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 $1,995.26 / $2,454.71 / $8,511.38	Professional		$1,995.26	$2,454.71	$8,511.38
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 $2,884.03 / $3,981.07 / $7,585.78	Professional		$2,884.03	$3,981.07	$7,585.78
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 $1,995.26 / $2,884.03 / $6,606.93	Professional		$1,995.26	$2,884.03	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,570.40 / $5,623.41	Professional		$2,089.30	$2,570.40	$5,623.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $2,570.40	Professional		$1,698.24	$1,995.26	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,630.78	Professional		$1,698.24	$2,238.72	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $58,884.37	Facility		$54.95	$56.23	$58,884.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Professional		$21,877.62	$21,877.62	$21,877.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $4,365.16	Facility		$2,137.96	$2,754.23	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $5,623.41	Professional		$2,041.74	$2,570.40	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,715.35	Professional		$1,698.24	$2,398.83	$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 $1,737.80 / $2,454.71 / $5,370.32	Professional		$1,737.80	$2,454.71	$5,370.32