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 $1,995.26 / $2,570.40 / $7,762.47	Professional		$1,995.26	$2,570.40	$7,762.47
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 $2,511.89 / $3,467.37 / $6,760.83	Professional		$2,511.89	$3,467.37	$6,760.83
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 $1,995.26 / $2,884.03 / $5,754.40	Professional		$1,995.26	$2,884.03	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $5,495.41	Professional		$2,089.30	$2,754.23	$5,495.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $2,951.21	Professional		$1,698.24	$2,344.23	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $5,011.87	Professional		$1,995.26	$2,570.40	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $23,442.29	Facility		$5,011.87	$5,011.87	$23,442.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $20,892.96 / $20,892.96	Professional		$16,218.10	$20,892.96	$20,892.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $4,365.16	Facility		$2,137.96	$2,754.23	$4,365.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $5,888.44	Professional		$2,041.74	$2,754.23	$5,888.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Professional		$7,244.36	$7,244.36	$7,244.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,715.35	Professional		$1,905.46	$2,570.40	$3,715.35
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 $1,778.28 / $2,344.23 / $4,786.30	Professional		$1,778.28	$2,344.23	$4,786.30