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 $2,398.83 / $2,951.21 / $10,715.19	Professional		$2,398.83	$2,951.21	$10,715.19
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 / $4,466.84 / $8,912.51	Professional		$2,344.23	$4,466.84	$8,912.51
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 $2,238.72 / $3,235.94 / $7,585.78	Professional		$2,238.72	$3,235.94	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $6,760.83	Professional		$2,454.71	$3,090.30	$6,760.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,884.03	Professional		$2,238.72	$2,238.72	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,073.80	Professional		$1,905.46	$2,511.89	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $42,657.95	Facility		$54.95	$56.23	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $25,118.86	Professional		$25,118.86	$25,118.86	$25,118.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $4,365.16	Facility		$2,398.83	$3,090.30	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $6,760.83	Professional		$2,398.83	$3,090.30	$6,760.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Professional		$7,585.78	$7,585.78	$7,585.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,801.89	Professional		$1,778.28	$2,454.71	$3,801.89
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 $2,041.74 / $2,951.21 / $6,309.57	Professional		$2,041.74	$2,951.21	$6,309.57