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 / $2,238.72 / $9,120.11	Professional		$1,737.80	$2,238.72	$9,120.11
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 / $3,630.78 / $6,760.83	Professional		$2,511.89	$3,630.78	$6,760.83
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 $1,778.28 / $2,630.27 / $6,025.60	Professional		$1,778.28	$2,630.27	$6,025.60
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 $1,621.81 / $1,778.28 / $2,290.87	Professional		$1,621.81	$1,778.28	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,235.94	Professional		$1,513.56	$1,949.84	$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 $22,908.68 / $22,908.68 / $23,988.33	Professional		$22,908.68	$22,908.68	$23,988.33
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 $1,862.09 / $2,398.83 / $4,073.80	Facility		$1,862.09	$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 $1,621.81 / $2,290.87 / $3,548.13	Professional		$1,621.81	$2,290.87	$3,548.13
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