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 $1,584.89 / $4,897.79 / $16,982.44	Professional		$1,584.89	$4,897.79	$16,982.44
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 $2,344.23 / $3,388.44 / $11,748.98	Professional		$2,344.23	$3,388.44	$11,748.98
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 $1,479.11 / $2,137.96 / $6,309.57	Professional		$1,479.11	$2,137.96	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,570.88 / $10,964.78	Professional		$1,659.59	$4,570.88	$10,964.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $4,786.30	Professional		$1,445.44	$1,819.70	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,466.84 / $8,511.38	Professional		$3,388.44	$4,466.84	$8,511.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $120,226.44	Facility		$54.95	$56.23	$120,226.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,840.32 / $34,673.69 / $34,673.69	Professional		$28,840.32	$34,673.69	$34,673.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $6,456.54	Facility		$1,995.26	$3,890.45	$6,456.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,570.88 / $10,964.78	Professional		$1,659.59	$4,570.88	$10,964.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,715.35	Professional		$1,819.70	$2,511.89	$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 $1,698.24 / $4,265.80 / $10,964.78	Professional		$1,698.24	$4,265.80	$10,964.78