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 / $24,547.09	Facility		$4,466.84	$10,715.19	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,888.44 / $19,498.45	Professional		$3,311.31	$5,888.44	$19,498.45
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 $5,011.87 / $6,918.31 / $14,454.40	Professional		$5,011.87	$6,918.31	$14,454.40
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 $3,548.13 / $5,128.61 / $12,589.25	Professional		$3,548.13	$5,128.61	$12,589.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,265.80 / $6,025.60	Professional		$3,388.44	$4,265.80	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,128.61 / $8,128.31	Professional		$4,073.80	$5,128.61	$8,128.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $112,201.85	Facility		$54.95	$56.23	$112,201.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,018.94 / $40,738.03 / $40,738.03	Professional		$38,018.94	$40,738.03	$40,738.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $8,128.31	Facility		$4,073.80	$5,623.41	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,677.35 / $12,882.50	Professional		$4,365.16	$4,677.35	$12,882.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $7,413.10	Professional		$3,890.45	$5,128.61	$7,413.10
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 $3,715.35 / $5,370.32 / $12,882.50	Professional		$3,715.35	$5,370.32	$12,882.50