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 $1,819.70 / $2,344.23 / $8,317.64	Professional		$1,819.70	$2,344.23	$8,317.64
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 $2,630.27 / $3,548.13 / $7,079.46	Professional		$2,630.27	$3,548.13	$7,079.46
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 $1,995.26 / $2,884.03 / $5,623.41	Professional		$1,995.26	$2,884.03	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $5,248.07	Professional		$1,949.84	$2,511.89	$5,248.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,630.27	Professional		$1,445.44	$2,137.96	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $4,570.88	Professional		$1,862.09	$2,454.71	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,183.83	Facility		$54.95	$56.23	$28,183.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $19,054.61 / $19,054.61	Professional		$14,791.08	$19,054.61	$19,054.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $4,073.80	Facility		$2,089.30	$2,691.53	$4,073.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $5,370.32	Professional		$1,862.09	$2,511.89	$5,370.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,090.30	Professional		$1,737.80	$2,137.96	$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 $1,698.24 / $2,344.23 / $5,754.40	Professional		$1,698.24	$2,344.23	$5,754.40