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 $2,089.30 / $2,754.23 / $8,128.31	Professional		$2,089.30	$2,754.23	$8,128.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,892.96	Facility		$6,918.31	$11,748.98	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,981.07 / $8,128.31	Professional		$2,884.03	$3,981.07	$8,128.31
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 $2,344.23 / $3,388.44 / $6,760.83	Professional		$2,344.23	$3,388.44	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $6,165.95	Professional		$2,238.72	$2,884.03	$6,165.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,951.21	Professional		$1,258.93	$1,905.46	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,248.07	Professional		$2,137.96	$2,818.38	$5,248.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $32,359.37	Facility		$54.95	$56.23	$32,359.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $21,877.62 / $21,877.62	Professional		$16,982.44	$21,877.62	$21,877.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $4,897.79	Facility		$2,398.83	$3,090.30	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $6,165.95	Professional		$2,137.96	$2,884.03	$6,165.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,754.23	Professional		$1,584.89	$2,137.96	$2,754.23
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 / $6,606.93	Professional		$1,949.84	$2,691.53	$6,606.93