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 $1,548.82 / $1,949.84 / $6,309.57	Professional		$1,548.82	$1,949.84	$6,309.57
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 $2,187.76 / $3,090.30 / $6,309.57	Professional		$2,187.76	$3,090.30	$6,309.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $5,011.87	Professional		$1,698.24	$2,454.71	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $4,677.35	Professional		$1,737.80	$2,238.72	$4,677.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,949.84 / $2,344.23	Professional		$1,288.25	$1,949.84	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $4,073.80	Professional		$1,659.59	$2,238.72	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $16,982.44 / $16,982.44	Professional		$15,848.93	$16,982.44	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,981.07	Facility		$1,862.09	$2,398.83	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $4,786.30	Professional		$1,621.81	$2,238.72	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,818.38	Professional		$1,584.89	$1,949.84	$2,818.38
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 $1,548.82 / $2,089.30 / $5,128.61	Professional		$1,548.82	$2,089.30	$5,128.61