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 $1,621.81 / $2,187.76 / $7,762.47	Professional		$1,621.81	$2,187.76	$7,762.47
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 $2,344.23 / $3,162.28 / $6,456.54	Professional		$2,344.23	$3,162.28	$6,456.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $9,332.54	Facility		$61.66	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,630.27 / $5,248.07	Professional		$1,819.70	$2,630.27	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $4,786.30	Professional		$1,698.24	$2,344.23	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,398.83	Professional		$1,479.11	$1,995.26	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $4,265.80	Professional		$1,737.80	$2,290.87	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $17,782.79 / $17,782.79	Professional		$13,803.84	$17,782.79	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $3,801.89	Facility		$1,905.46	$2,398.83	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $5,011.87	Professional		$1,698.24	$2,344.23	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,162.28	Professional		$1,621.81	$2,187.76	$3,162.28
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 $1,548.82 / $2,137.96 / $5,370.32	Professional		$1,548.82	$2,137.96	$5,370.32