Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $10,000.00 / $23,988.33	Facility		$3,715.35	$10,000.00	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $7,943.28	Professional		$1,737.80	$2,187.76	$7,943.28
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 $2,511.89 / $3,467.37 / $6,606.93	Professional		$2,511.89	$3,467.37	$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 $1,819.70 / $2,630.27 / $5,888.44	Professional		$1,819.70	$2,630.27	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $5,011.87	Professional		$1,819.70	$2,238.72	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,344.23	Professional		$1,737.80	$1,819.70	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,235.94	Professional		$1,548.82	$1,995.26	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $51,286.14	Facility		$54.95	$56.23	$51,286.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Professional		$21,379.62	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $4,073.80	Facility		$1,905.46	$2,398.83	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $5,011.87	Professional		$1,778.28	$2,238.72	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $3,715.35	Professional		$1,659.59	$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 $1,513.56 / $2,137.96 / $4,677.35	Professional		$1,513.56	$2,137.96	$4,677.35