Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $14,125.38	Professional		$3,467.37	$4,466.84	$14,125.38
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 $4,265.80 / $6,606.93 / $13,182.57	Professional		$4,265.80	$6,606.93	$13,182.57
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 $3,311.31 / $4,786.30 / $10,232.93	Professional		$3,311.31	$4,786.30	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $10,000.00	Professional		$3,467.37	$4,786.30	$10,000.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,786.30	Professional		$1,698.24	$2,511.89	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $8,511.38	Professional		$3,467.37	$4,570.88	$8,511.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $72,443.60	Facility		$54.95	$56.23	$72,443.60
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $36,307.81 / $36,307.81	Professional		$28,183.83	$36,307.81	$36,307.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $7,585.78	Facility		$3,801.89	$4,786.30	$7,585.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $10,232.93	Professional		$3,311.31	$4,786.30	$10,232.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Professional		$12,589.25	$12,589.25	$12,589.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $3,801.89	Professional		$2,137.96	$2,951.21	$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 $3,311.31 / $4,466.84 / $10,964.78	Professional		$3,311.31	$4,466.84	$10,964.78