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 $1,737.80 / $2,187.76 / $7,585.78	Professional		$1,737.80	$2,187.76	$7,585.78
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 $2,630.27 / $3,630.78 / $7,079.46	Professional		$2,630.27	$3,630.78	$7,079.46
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 / $6,025.60	Professional		$1,819.70	$2,630.27	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $5,011.87	Professional		$1,862.09	$2,290.87	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,398.83	Professional		$1,621.81	$1,862.09	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,786.30	Professional		$1,548.82	$2,041.74	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $52,480.75	Facility		$54.95	$56.23	$52,480.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $22,387.21	Professional		$20,892.96	$20,892.96	$22,387.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,981.07	Facility		$1,905.46	$2,454.71	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $5,011.87	Professional		$1,819.70	$2,290.87	$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 $1,621.81 / $2,238.72 / $3,467.37	Professional		$1,621.81	$2,238.72	$3,467.37
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 $1,548.82 / $2,187.76 / $4,786.30	Professional		$1,548.82	$2,187.76	$4,786.30