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 $1,778.28 / $2,187.76 / $8,128.31	Professional		$1,778.28	$2,187.76	$8,128.31
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 $2,187.76 / $2,951.21 / $5,888.44	Professional		$2,187.76	$2,951.21	$5,888.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $9,332.54	Facility		$61.66	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $5,248.07	Professional		$1,778.28	$2,630.27	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $5,128.61	Professional		$1,778.28	$2,398.83	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,238.72	Professional		$1,445.44	$1,862.09	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,715.35	Professional		$1,584.89	$2,089.30	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,498.45	Facility		$54.95	$56.23	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,547.09 / $24,547.09 / $24,547.09	Professional		$24,547.09	$24,547.09	$24,547.09
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 $1,949.84 / $2,511.89 / $3,981.07	Facility		$1,949.84	$2,511.89	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $5,011.87	Professional		$1,737.80	$2,344.23	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,090.30	Professional		$1,513.56	$2,089.30	$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 $1,584.89 / $2,290.87 / $5,248.07	Professional		$1,584.89	$2,290.87	$5,248.07