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 $2,041.74 / $2,630.27 / $9,332.54	Professional		$2,041.74	$2,630.27	$9,332.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,125.38 / $23,988.33	Facility		$8,511.38	$14,125.38	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $7,943.28	Professional		$2,884.03	$3,890.45	$7,943.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $11,481.54	Facility		$60.26	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,456.54	Professional		$2,238.72	$3,235.94	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $6,025.60	Professional		$2,187.76	$2,818.38	$6,025.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,398.83 / $2,884.03	Professional		$1,584.89	$2,398.83	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $5,128.61	Professional		$2,089.30	$2,754.23	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $31,622.78	Facility		$54.95	$56.23	$31,622.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $21,379.62 / $21,379.62	Professional		$16,595.87	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,019.95 / $4,570.88	Facility		$2,344.23	$3,019.95	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $6,025.60	Professional		$2,089.30	$2,818.38	$6,025.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $3,467.37	Professional		$1,949.84	$2,398.83	$3,467.37
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 / $2,691.53 / $6,456.54	Professional		$1,949.84	$2,691.53	$6,456.54