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 $2,137.96 / $2,818.38 / $8,128.31	Professional		$2,137.96	$2,818.38	$8,128.31
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 $2,511.89 / $3,890.45 / $7,762.47	Professional		$2,511.89	$3,890.45	$7,762.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $11,481.54	Facility		$61.66	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $6,606.93	Professional		$2,089.30	$3,019.95	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $6,309.57	Professional		$1,949.84	$2,951.21	$6,309.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,715.35	Professional		$1,348.96	$2,041.74	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $6,165.95	Professional		$2,511.89	$3,388.44	$6,165.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,884.42	Facility		$54.95	$56.23	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $22,387.21 / $22,387.21	Professional		$17,378.01	$22,387.21	$22,387.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,311.31 / $4,897.79	Facility		$2,238.72	$3,311.31	$4,897.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,951.21 / $6,456.54	Professional		$1,905.46	$2,951.21	$6,456.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,090.30	Professional		$1,698.24	$2,398.83	$3,090.30
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 / $7,079.46	Professional		$1,949.84	$2,691.53	$7,079.46