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 $1,659.59 / $2,137.96 / $7,585.78	Professional		$1,659.59	$2,137.96	$7,585.78
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 $2,137.96 / $3,019.95 / $5,623.41	Professional		$2,137.96	$3,019.95	$5,623.41
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 $1,778.28 / $2,511.89 / $4,897.79	Professional		$1,778.28	$2,511.89	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $4,786.30	Professional		$1,778.28	$2,290.87	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,511.89	Professional		$707.95	$1,047.13	$2,511.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,265.80	Professional		$1,659.59	$2,187.76	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $19,498.45	Facility		$5,011.87	$5,011.87	$19,498.45
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 $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $3,715.35	Facility		$1,862.09	$2,398.83	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $4,897.79	Professional		$1,737.80	$2,344.23	$4,897.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,819.70	Professional		$891.25	$1,230.27	$1,819.70
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 $1,479.11 / $1,995.26 / $3,890.45	Professional		$1,479.11	$1,995.26	$3,890.45