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 $2,187.76 / $2,818.38 / $9,772.37	Professional		$2,187.76	$2,818.38	$9,772.37
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 $2,754.23 / $3,801.89 / $7,413.10	Professional		$2,754.23	$3,801.89	$7,413.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $11,481.54	Facility		$60.26	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $6,165.95	Professional		$2,137.96	$3,090.30	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $6,165.95	Professional		$2,238.72	$3,019.95	$6,165.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,162.28	Professional		$1,819.70	$2,570.40	$3,162.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $5,370.32	Professional		$2,137.96	$2,818.38	$5,370.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $44,668.36	Facility		$5,011.87	$5,011.87	$44,668.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $22,387.21 / $22,387.21	Professional		$17,378.01	$22,387.21	$22,387.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $4,677.35	Facility		$2,238.72	$2,951.21	$4,677.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $6,309.57	Professional		$2,187.76	$3,019.95	$6,309.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,890.45	Professional		$2,041.74	$2,691.53	$3,890.45
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 $1,949.84 / $2,570.40 / $5,128.61	Professional		$1,949.84	$2,570.40	$5,128.61