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 $1,862.09 / $2,454.71 / $8,511.38	Professional		$1,862.09	$2,454.71	$8,511.38
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 $2,754.23 / $3,630.78 / $7,244.36	Professional		$2,754.23	$3,630.78	$7,244.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $9,332.54	Facility		$60.26	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $5,888.44	Professional		$2,041.74	$2,951.21	$5,888.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $5,495.41	Professional		$2,041.74	$2,630.27	$5,495.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $2,691.53	Professional		$1,698.24	$2,238.72	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $4,677.35	Professional		$1,949.84	$2,570.40	$4,677.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,904.51	Facility		$54.95	$56.23	$38,904.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $19,498.45 / $19,498.45	Professional		$15,135.61	$19,498.45	$19,498.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $4,570.88	Facility		$2,187.76	$2,818.38	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $5,623.41	Professional		$1,905.46	$2,630.27	$5,623.41
Sutter Health Plus 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
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,630.78	Professional		$1,819.70	$2,511.89	$3,630.78
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 $1,778.28 / $2,454.71 / $6,025.60	Professional		$1,778.28	$2,454.71	$6,025.60