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 $1,862.09 / $2,454.71 / $8,511.38	Professional		$1,862.09	$2,454.71	$8,511.38
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 / $3,630.78 / $7,413.10	Professional		$2,570.40	$3,630.78	$7,413.10
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 $2,137.96 / $3,090.30 / $6,165.95	Professional		$2,137.96	$3,090.30	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $5,623.41	Professional		$2,089.30	$2,630.27	$5,623.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,691.53	Professional		$1,096.48	$1,621.81	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $4,677.35	Professional		$1,905.46	$2,570.40	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $29,512.09	Facility		$54.95	$56.23	$29,512.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $19,498.45 / $19,498.45	Professional		$16,595.87	$19,498.45	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,265.80	Facility		$2,089.30	$2,754.23	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $5,623.41	Professional		$1,995.26	$2,630.27	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,454.71	Professional		$1,380.38	$1,862.09	$2,454.71
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 $1,819.70 / $2,454.71 / $6,025.60	Professional		$1,819.70	$2,454.71	$6,025.60