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 / $2,630.27 / $9,549.93	Professional		$1,995.26	$2,630.27	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,218.10 / $28,840.32	Facility		$11,220.18	$16,218.10	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,073.80 / $7,762.47	Professional		$2,818.38	$4,073.80	$7,762.47
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 $1,862.09 / $2,754.23 / $6,309.57	Professional		$1,862.09	$2,754.23	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $6,025.60	Professional		$2,089.30	$2,630.27	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,630.27	Professional		$1,659.59	$2,089.30	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,890.45	Professional		$1,737.80	$2,290.87	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $61,659.50	Facility		$54.95	$56.23	$61,659.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Professional		$24,547.09	$24,547.09	$24,547.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $4,570.88	Facility		$2,187.76	$2,818.38	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $6,025.60	Professional		$1,995.26	$2,630.27	$6,025.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $3,548.13	Professional		$1,698.24	$2,344.23	$3,548.13
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 $1,819.70 / $2,570.40 / $5,623.41	Professional		$1,819.70	$2,570.40	$5,623.41