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 $1,995.26 / $2,454.71 / $8,912.51	Professional		$1,995.26	$2,454.71	$8,912.51
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 $2,454.71 / $3,311.31 / $6,606.93	Professional		$2,454.71	$3,311.31	$6,606.93
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 $1,995.26 / $2,951.21 / $5,754.40	Professional		$1,995.26	$2,951.21	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $5,754.40	Professional		$1,995.26	$2,630.27	$5,754.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,511.89	Professional		$1,659.59	$2,041.74	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $4,168.69	Professional		$1,737.80	$2,290.87	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,379.62	Facility		$54.95	$56.23	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,199.52 / $30,199.52 / $30,199.52	Professional		$30,199.52	$30,199.52	$30,199.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,365.16	Facility		$2,137.96	$2,818.38	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $5,495.41	Professional		$1,949.84	$2,630.27	$5,495.41
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 $1,659.59 / $2,290.87 / $3,548.13	Professional		$1,659.59	$2,290.87	$3,548.13
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 $1,778.28 / $2,570.40 / $5,888.44	Professional		$1,778.28	$2,570.40	$5,888.44