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 $1,905.46 / $3,235.94 / $12,022.64	Professional		$1,905.46	$3,235.94	$12,022.64
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 $2,754.23 / $3,890.45 / $8,128.31	Professional		$2,754.23	$3,890.45	$8,128.31
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 / $2,691.53 / $6,760.83	Professional		$1,862.09	$2,691.53	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $7,244.36	Professional		$2,041.74	$3,162.28	$7,244.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,311.31	Professional		$1,737.80	$2,187.76	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $4,677.35	Professional		$2,238.72	$2,951.21	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $47,863.01	Facility		$54.95	$56.23	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $22,908.68 / $22,908.68	Professional		$19,054.61	$22,908.68	$22,908.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $4,466.84	Facility		$2,454.71	$3,090.30	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $7,244.36	Professional		$2,041.74	$3,162.28	$7,244.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,715.35	Professional		$2,137.96	$2,630.27	$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 $2,089.30 / $3,019.95 / $7,079.46	Professional		$2,089.30	$3,019.95	$7,079.46