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 $1,778.28 / $2,290.87 / $8,912.51	Professional		$1,778.28	$2,290.87	$8,912.51
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 $2,454.71 / $3,548.13 / $6,918.31	Professional		$2,454.71	$3,548.13	$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 $1,819.70 / $2,630.27 / $6,025.60	Professional		$1,819.70	$2,630.27	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $5,754.40	Professional		$1,905.46	$2,398.83	$5,754.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,238.72	Professional		$1,479.11	$1,737.80	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $3,311.31	Professional		$1,513.56	$1,949.84	$3,311.31
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 $1,778.28 / $2,344.23 / $3,548.13	Facility		$1,778.28	$2,344.23	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $5,623.41	Professional		$1,905.46	$2,398.83	$5,623.41
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 $1,412.54 / $1,905.46 / $2,511.89	Professional		$1,412.54	$1,905.46	$2,511.89
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 $1,621.81 / $2,344.23 / $5,011.87	Professional		$1,621.81	$2,344.23	$5,011.87