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 $1,737.80 / $2,238.72 / $7,943.28	Professional		$1,737.80	$2,238.72	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,803.84 / $22,387.21	Facility		$7,943.28	$13,803.84	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $6,760.83	Professional		$2,570.40	$3,467.37	$6,760.83
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 $1,862.09 / $2,691.53 / $5,370.32	Professional		$1,862.09	$2,691.53	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $5,128.61	Professional		$1,819.70	$2,398.83	$5,128.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $2,511.89	Professional		$1,479.11	$2,089.30	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,365.16	Professional		$1,778.28	$2,398.83	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,915.35	Facility		$54.95	$56.23	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $18,197.01 / $18,197.01	Professional		$14,125.38	$18,197.01	$18,197.01
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 $2,041.74 / $2,570.40 / $3,981.07	Facility		$2,041.74	$2,570.40	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $5,128.61	Professional		$1,737.80	$2,398.83	$5,128.61
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 $1,698.24 / $2,238.72 / $3,162.28	Professional		$1,698.24	$2,238.72	$3,162.28
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 $1,659.59 / $2,238.72 / $5,495.41	Professional		$1,659.59	$2,238.72	$5,495.41