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 $1,819.70 / $2,344.23 / $8,128.31	Professional		$1,819.70	$2,344.23	$8,128.31
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 $2,344.23 / $3,311.31 / $6,165.95	Professional		$2,344.23	$3,311.31	$6,165.95
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 $1,862.09 / $2,691.53 / $5,248.07	Professional		$1,862.09	$2,691.53	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $5,248.07	Professional		$1,905.46	$2,511.89	$5,248.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,691.53	Professional		$1,445.44	$2,137.96	$2,691.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,570.88	Professional		$1,778.28	$2,344.23	$4,570.88
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $25,703.96	Facility		$5,011.87	$5,011.87	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $18,620.87 / $18,620.87	Professional		$14,454.40	$18,620.87	$18,620.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $3,981.07	Facility		$1,995.26	$2,570.40	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $5,248.07	Professional		$1,905.46	$2,570.40	$5,248.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,162.28	Professional		$1,737.80	$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 $1,621.81 / $2,137.96 / $4,265.80	Professional		$1,621.81	$2,137.96	$4,265.80