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 / $2,398.83 / $7,762.47	Professional		$1,862.09	$2,398.83	$7,762.47
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 $2,344.23 / $3,548.13 / $7,244.36	Professional		$2,344.23	$3,548.13	$7,244.36
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 $1,995.26 / $2,884.03 / $5,754.40	Professional		$1,995.26	$2,884.03	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $5,495.41	Professional		$1,995.26	$2,570.40	$5,495.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,630.27	Professional		$1,659.59	$2,187.76	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $4,677.35	Professional		$1,905.46	$2,511.89	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,840.32	Facility		$54.95	$56.23	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $19,498.45 / $19,498.45	Professional		$16,982.44	$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 $2,137.96 / $2,754.23 / $4,570.88	Facility		$2,137.96	$2,754.23	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $5,495.41	Professional		$1,862.09	$2,570.40	$5,495.41
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 $1,778.28 / $2,454.71 / $3,548.13	Professional		$1,778.28	$2,454.71	$3,548.13
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 $1,778.28 / $2,398.83 / $5,888.44	Professional		$1,778.28	$2,398.83	$5,888.44