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 $1,819.70 / $2,290.87 / $8,317.64	Professional		$1,819.70	$2,290.87	$8,317.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $6,918.31	Professional		$2,398.83	$3,630.78	$6,918.31
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 $1,949.84 / $2,818.38 / $6,165.95	Professional		$1,949.84	$2,818.38	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $5,128.61	Professional		$1,905.46	$2,398.83	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,238.72	Professional		$1,737.80	$1,737.80	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,235.94	Professional		$1,513.56	$1,905.46	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,113.11	Facility		$54.95	$56.23	$33,113.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $15,848.93 / $15,848.93	Professional		$12,882.50	$15,848.93	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,715.35	Facility		$1,949.84	$2,570.40	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $5,248.07	Professional		$1,905.46	$2,398.83	$5,248.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,398.83 / $3,715.35	Professional		$1,548.82	$2,398.83	$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 $1,584.89 / $2,290.87 / $4,897.79	Professional		$1,584.89	$2,290.87	$4,897.79