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 $1,445.44 / $2,570.40 / $9,549.93	Professional		$1,445.44	$2,570.40	$9,549.93
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 $1,819.70 / $2,884.03 / $6,165.95	Professional		$1,819.70	$2,884.03	$6,165.95
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 $1,380.38 / $2,041.74 / $5,011.87	Professional		$1,380.38	$2,041.74	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $5,754.40	Professional		$1,513.56	$2,454.71	$5,754.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,511.89	Professional		$1,202.26	$1,513.56	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,715.35	Professional		$1,778.28	$2,290.87	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,904.51	Facility		$54.95	$56.23	$38,904.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $18,620.87 / $18,620.87	Professional		$15,135.61	$18,620.87	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,388.44	Facility		$1,862.09	$2,398.83	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $5,754.40	Professional		$1,513.56	$2,454.71	$5,754.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,570.40	Professional		$1,513.56	$1,949.84	$2,570.40
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 $1,548.82 / $2,344.23 / $5,623.41	Professional		$1,548.82	$2,344.23	$5,623.41