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 $2,454.71 / $3,311.31 / $12,589.25	Professional		$2,454.71	$3,311.31	$12,589.25
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 $3,162.28 / $4,365.16 / $8,317.64	Professional		$3,162.28	$4,365.16	$8,317.64
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 $2,570.40 / $3,630.78 / $7,079.46	Professional		$2,570.40	$3,630.78	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $7,079.46	Professional		$2,570.40	$3,388.44	$7,079.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,548.13	Professional		$1,995.26	$2,818.38	$3,548.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $6,025.60	Professional		$2,344.23	$3,090.30	$6,025.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $34,673.69	Facility		$5,011.87	$5,011.87	$34,673.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $25,118.86 / $25,118.86	Professional		$19,498.45	$25,118.86	$25,118.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,370.32	Facility		$2,570.40	$3,388.44	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $7,079.46	Professional		$2,570.40	$3,467.37	$7,079.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,265.80	Professional		$2,290.87	$3,019.95	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $38,904.51	Facility		$9,120.11	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $5,754.40	Professional		$2,187.76	$2,884.03	$5,754.40