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 $3,981.07 / $5,128.61 / $16,218.10	Professional		$3,981.07	$5,128.61	$16,218.10
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 $4,570.88 / $7,585.78 / $15,135.61	Professional		$4,570.88	$7,585.78	$15,135.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $14,791.08	Facility		$60.26	$100.00	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $11,220.18	Professional		$3,548.13	$5,128.61	$11,220.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,495.41 / $11,220.18	Professional		$3,715.35	$5,495.41	$11,220.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,073.80 / $5,370.32	Professional		$2,691.53	$4,073.80	$5,370.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,128.61 / $9,772.37	Professional		$3,890.45	$5,128.61	$9,772.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $83,176.38	Facility		$54.95	$56.23	$83,176.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,359.37 / $41,686.94 / $41,686.94	Professional		$32,359.37	$41,686.94	$41,686.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $5,370.32 / $8,511.38	Facility		$3,890.45	$5,370.32	$8,511.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,495.41 / $12,022.64	Professional		$3,630.78	$5,495.41	$12,022.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Professional		$14,454.40	$14,454.40	$14,454.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $5,754.40	Professional		$3,388.44	$4,168.69	$5,754.40
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 $3,801.89 / $5,128.61 / $12,882.50	Professional		$3,801.89	$5,128.61	$12,882.50