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 $1,905.46 / $2,344.23 / $8,709.64	Professional		$1,905.46	$2,344.23	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $7,079.46	Professional		$2,290.87	$3,630.78	$7,079.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $6,309.57	Professional		$1,995.26	$2,884.03	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $5,370.32	Professional		$1,995.26	$2,454.71	$5,370.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,238.72	Professional		$1,230.27	$1,548.82	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,388.44	Professional		$1,548.82	$1,995.26	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,884.42	Facility		$54.95	$56.23	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $16,218.10 / $16,218.10	Professional		$13,489.63	$16,218.10	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,630.78	Facility		$1,995.26	$2,570.40	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $5,370.32	Professional		$1,949.84	$2,454.71	$5,370.32
Sutter Health Plus 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
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,630.27	Professional		$1,445.44	$1,862.09	$2,630.27
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 $1,659.59 / $2,344.23 / $5,128.61	Professional		$1,659.59	$2,344.23	$5,128.61