Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $9,549.93 / $22,387.21	Facility		$3,715.35	$9,549.93	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $9,549.93	Professional		$1,778.28	$2,290.87	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $6,165.95	Professional		$1,995.26	$2,818.38	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,309.57 / $16,982.44	Facility		$66.07	$6,309.57	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,951.21 / $5,754.40	Professional		$2,041.74	$2,951.21	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $5,248.07	Professional		$1,819.70	$2,454.71	$5,248.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,630.27	Professional		$1,584.89	$1,949.84	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,890.45	Professional		$1,621.81	$2,187.76	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,915.35	Facility		$54.95	$56.23	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $16,595.87 / $16,595.87	Professional		$14,125.38	$16,595.87	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,981.07	Facility		$1,862.09	$2,511.89	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $5,128.61	Professional		$1,778.28	$2,454.71	$5,128.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,388.44	Professional		$1,584.89	$2,238.72	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,302.69 / $25,703.96	Facility		$6,760.83	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $5,623.41	Professional		$1,621.81	$2,238.72	$5,623.41