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 $2,041.74 / $2,630.27 / $9,332.54	Professional		$2,041.74	$2,630.27	$9,332.54
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 $2,630.27 / $3,630.78 / $6,918.31	Professional		$2,630.27	$3,630.78	$6,918.31
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 $2,089.30 / $2,951.21 / $6,025.60	Professional		$2,089.30	$2,951.21	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,888.44	Professional		$2,137.96	$2,818.38	$5,888.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $3,019.95	Professional		$1,698.24	$2,398.83	$3,019.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $5,128.61	Professional		$1,995.26	$2,630.27	$5,128.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $28,840.32	Facility		$5,011.87	$5,011.87	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $21,379.62 / $21,379.62	Professional		$16,595.87	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $4,466.84	Facility		$2,137.96	$2,818.38	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,888.44	Professional		$2,089.30	$2,884.03	$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 $1,949.84 / $2,570.40 / $3,630.78	Professional		$1,949.84	$2,570.40	$3,630.78
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 $1,819.70 / $2,454.71 / $4,897.79	Professional		$1,819.70	$2,454.71	$4,897.79