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 $1,621.81 / $2,089.30 / $7,413.10	Professional		$1,621.81	$2,089.30	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,748.98 / $18,620.87	Facility		$6,456.54	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,495.41	Professional		$2,089.30	$2,884.03	$5,495.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $4,786.30	Professional		$1,698.24	$2,454.71	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $4,677.35	Professional		$1,737.80	$2,238.72	$4,677.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,454.71	Professional		$1,318.26	$1,949.84	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $4,073.80	Professional		$1,621.81	$2,137.96	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $19,054.61	Facility		$5,011.87	$5,011.87	$19,054.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $16,982.44 / $16,982.44	Professional		$13,182.57	$16,982.44	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,630.78	Facility		$1,819.70	$2,344.23	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,786.30	Professional		$1,698.24	$2,290.87	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,818.38	Professional		$1,584.89	$1,995.26	$2,818.38
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 $1,445.44 / $1,949.84 / $3,890.45	Professional		$1,445.44	$1,949.84	$3,890.45