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 $1,905.46 / $2,630.27 / $8,511.38	Professional		$1,905.46	$2,630.27	$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 $2,630.27 / $3,890.45 / $7,585.78	Professional		$2,630.27	$3,890.45	$7,585.78
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 $2,089.30 / $3,019.95 / $6,606.93	Professional		$2,089.30	$3,019.95	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $6,165.95	Professional		$2,041.74	$3,019.95	$6,165.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $3,090.30	Professional		$1,737.80	$2,570.40	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $5,495.41	Professional		$2,238.72	$2,951.21	$5,495.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $45,708.82	Facility		$54.95	$56.23	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $22,908.68 / $22,908.68	Professional		$17,782.79	$22,908.68	$22,908.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $4,570.88	Facility		$2,398.83	$3,019.95	$4,570.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $6,456.54	Professional		$1,949.84	$2,951.21	$6,456.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,715.35	Professional		$2,089.30	$2,630.27	$3,715.35
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 $1,905.46 / $2,754.23 / $7,079.46	Professional		$1,905.46	$2,754.23	$7,079.46