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 / $23,988.33	Facility		$4,466.84	$10,715.19	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,248.07 / $18,620.87	Professional		$3,801.89	$5,248.07	$18,620.87
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 $4,897.79 / $7,585.78 / $15,135.61	Professional		$4,897.79	$7,585.78	$15,135.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $18,197.01	Facility		$61.66	$100.00	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,456.54 / $12,589.25	Professional		$4,466.84	$6,456.54	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $11,748.98	Professional		$4,168.69	$5,370.32	$11,748.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,365.16 / $5,248.07	Professional		$3,467.37	$4,365.16	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,011.87 / $9,549.93	Professional		$3,801.89	$5,011.87	$9,549.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $79,432.82	Facility		$54.95	$56.23	$79,432.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,622.78 / $39,810.72 / $39,810.72	Professional		$31,622.78	$39,810.72	$39,810.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,495.41 / $8,709.64	Facility		$4,365.16	$5,495.41	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,370.32 / $11,748.98	Professional		$4,073.80	$5,370.32	$11,748.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional		$14,125.38	$14,125.38	$14,125.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,897.79 / $7,413.10	Professional		$3,548.13	$4,897.79	$7,413.10
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 $3,715.35 / $5,128.61 / $12,589.25	Professional		$3,715.35	$5,128.61	$12,589.25