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 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,818.38 / $10,232.93	Professional		$2,290.87	$2,818.38	$10,232.93
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 $2,344.23 / $4,265.80 / $8,511.38	Professional		$2,344.23	$4,265.80	$8,511.38
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 $2,137.96 / $3,090.30 / $7,244.36	Professional		$2,137.96	$3,090.30	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $6,309.57	Professional		$2,344.23	$2,884.03	$6,309.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,754.23	Professional		$2,137.96	$2,137.96	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,981.07	Professional		$1,819.70	$2,398.83	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $40,738.03	Facility		$54.95	$56.23	$40,738.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Professional		$23,442.29	$23,442.29	$23,442.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,168.69	Facility		$2,344.23	$2,951.21	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $6,309.57	Professional		$2,290.87	$2,884.03	$6,309.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $3,630.78	Professional		$1,698.24	$2,344.23	$3,630.78
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 $1,949.84 / $2,818.38 / $6,165.95	Professional		$1,949.84	$2,818.38	$6,165.95