Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $7,585.78	Professional		$1,819.70	$2,511.89	$7,585.78
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 $1,949.84 / $2,818.38 / $5,495.41	Professional		$1,949.84	$2,818.38	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $5,370.32	Professional		$1,905.46	$2,511.89	$5,370.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,570.40	Professional		$1,513.56	$2,137.96	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $4,466.84	Professional		$1,862.09	$2,454.71	$4,466.84
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 $14,454.40 / $18,620.87 / $18,620.87	Professional		$14,454.40	$18,620.87	$18,620.87
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 / $4,265.80	Facility		$2,089.30	$2,691.53	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $5,370.32	Professional		$1,819.70	$2,511.89	$5,370.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,235.94	Professional		$1,737.80	$2,290.87	$3,235.94
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