Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,089.30 / $15,848.93	Facility		$2,041.74	$2,089.30	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $10,715.19	Professional		$2,041.74	$2,818.38	$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 $2,187.76 / $3,311.31 / $7,244.36	Professional		$2,187.76	$3,311.31	$7,244.36
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 $2,089.30 / $3,090.30 / $6,918.31	Professional		$2,089.30	$3,090.30	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $6,165.95	Professional		$2,137.96	$2,884.03	$6,165.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,162.28	Professional		$1,380.38	$2,089.30	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,786.30	Professional		$2,290.87	$3,019.95	$4,786.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $24,547.09	Facility		$54.95	$56.23	$24,547.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $23,442.29 / $23,442.29	Professional		$19,054.61	$23,442.29	$23,442.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $4,786.30	Facility		$2,137.96	$2,951.21	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $6,606.93	Professional		$2,089.30	$2,884.03	$6,606.93
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 $1,380.38 / $2,137.96 / $2,511.89	Professional		$1,380.38	$2,137.96	$2,511.89
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 $1,949.84 / $2,818.38 / $6,309.57	Professional		$1,949.84	$2,818.38	$6,309.57