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 $1,698.24 / $2,137.96 / $7,762.47	Professional		$1,698.24	$2,137.96	$7,762.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $5,623.41	Professional		$2,137.96	$2,884.03	$5,623.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $9,332.54	Facility		$60.26	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $5,011.87	Professional		$1,737.80	$2,570.40	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $5,011.87	Professional		$1,737.80	$2,290.87	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,187.76	Professional		$1,445.44	$1,778.28	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,548.13	Professional		$1,513.56	$1,995.26	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,620.87	Facility		$54.95	$56.23	$18,620.87
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 $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,630.78	Facility		$1,862.09	$2,398.83	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,786.30	Professional		$1,698.24	$2,290.87	$4,786.30
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 $1,445.44 / $1,995.26 / $3,090.30	Professional		$1,445.44	$1,995.26	$3,090.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $5,011.87	Professional		$1,513.56	$2,187.76	$5,011.87