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 / $24,547.09	Facility		$4,466.84	$10,715.19	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $10,715.19	Professional		$2,630.27	$3,311.31	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,892.96	Facility		$6,918.31	$11,748.98	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,677.35 / $8,709.64	Professional		$3,388.44	$4,677.35	$8,709.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $12,882.50	Facility		$60.26	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,801.89 / $7,585.78	Professional		$2,691.53	$3,801.89	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $7,413.10	Professional		$2,754.23	$3,548.13	$7,413.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $3,715.35	Professional		$2,089.30	$2,951.21	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $6,309.57	Professional		$2,454.71	$3,311.31	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $46,773.51	Facility		$5,011.87	$5,011.87	$46,773.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $26,915.35 / $26,915.35	Professional		$20,892.96	$26,915.35	$26,915.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $5,623.41	Facility		$2,754.23	$3,548.13	$5,623.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,630.78 / $7,413.10	Professional		$2,691.53	$3,630.78	$7,413.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,466.84	Professional		$2,398.83	$3,162.28	$4,466.84
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 $2,290.87 / $3,090.30 / $6,165.95	Professional		$2,290.87	$3,090.30	$6,165.95