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 $2,041.74 / $3,162.28 / $9,120.11	Professional		$2,041.74	$3,162.28	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,595.87 / $28,840.32	Facility		$11,220.18	$16,595.87	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,265.80 / $8,511.38	Professional		$3,019.95	$4,265.80	$8,511.38
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 / $7,413.10	Professional		$2,344.23	$3,388.44	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $6,918.31	Professional		$2,238.72	$3,235.94	$6,918.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $3,715.35	Professional		$1,584.89	$2,344.23	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,467.37 / $6,456.54	Professional		$2,630.27	$3,467.37	$6,456.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,018.94	Facility		$54.95	$56.23	$38,018.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $25,118.86 / $25,118.86	Professional		$19,498.45	$25,118.86	$25,118.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $3,548.13 / $5,248.07	Facility		$2,691.53	$3,548.13	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,235.94 / $7,079.46	Professional		$2,238.72	$3,235.94	$7,079.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Professional		$8,912.51	$8,912.51	$8,912.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,467.37	Professional		$1,995.26	$2,691.53	$3,467.37
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 $2,137.96 / $3,019.95 / $7,943.28	Professional		$2,137.96	$3,019.95	$7,943.28