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 $2,398.83 / $3,311.31 / $10,232.93	Professional		$2,398.83	$3,311.31	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $14,125.38 / $23,988.33	Facility		$8,511.38	$14,125.38	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,677.35 / $9,549.93	Professional		$3,311.31	$4,677.35	$9,549.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $12,882.50	Facility		$60.26	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,801.89 / $8,128.31	Professional		$2,630.27	$3,801.89	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $7,244.36	Professional		$2,511.89	$3,388.44	$7,244.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $3,235.94	Professional		$1,778.28	$2,691.53	$3,235.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $5,128.61	Professional		$2,290.87	$3,019.95	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $40,738.03	Facility		$54.95	$56.23	$40,738.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $26,915.35 / $26,915.35	Professional		$20,892.96	$26,915.35	$26,915.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $5,370.32	Facility		$2,754.23	$3,548.13	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $7,413.10	Professional		$2,454.71	$3,388.44	$7,413.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,691.53 / $3,801.89	Professional		$2,187.76	$2,691.53	$3,801.89
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 $2,238.72 / $3,162.28 / $7,585.78	Professional		$2,238.72	$3,162.28	$7,585.78