Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $10,715.19 / $22,908.68	Facility		$4,365.16	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $14,125.38	Professional		$3,311.31	$4,265.80	$14,125.38
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 $4,570.88 / $7,244.36 / $13,182.57	Professional		$4,570.88	$7,244.36	$13,182.57
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 $3,090.30 / $4,466.84 / $10,232.93	Professional		$3,090.30	$4,466.84	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $10,000.00	Professional		$3,467.37	$4,265.80	$10,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $4,365.16	Professional		$2,884.03	$3,311.31	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $5,623.41	Professional		$2,818.38	$3,715.35	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $100,000.00	Facility		$54.95	$56.23	$100,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $29,512.09 / $29,512.09	Professional		$23,988.33	$29,512.09	$29,512.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $6,309.57	Facility		$3,235.94	$4,265.80	$6,309.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $10,000.00	Professional		$3,467.37	$4,365.16	$10,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Professional		$10,964.78	$10,964.78	$10,964.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $4,897.79	Professional		$2,691.53	$3,715.35	$4,897.79
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 $2,951.21 / $4,265.80 / $9,120.11	Professional		$2,951.21	$4,265.80	$9,120.11