Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $6,025.60	Professional		$1,000.00	$1,230.27	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $18,197.01	Facility		$6,456.54	$11,481.54	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,630.78	Professional		$1,230.27	$1,778.28	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $3,019.95	Professional		$912.01	$1,348.96	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,090.30	Professional		$1,047.13	$1,479.11	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,584.89	Professional		$912.01	$1,318.26	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Professional		$1,096.48	$1,479.11	$2,344.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,498.45	Facility		$54.95	$56.23	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $10,471.29	Professional		$8,709.64	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,398.83	Facility		$1,174.90	$1,513.56	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $3,090.30	Professional		$1,023.29	$1,445.44	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Professional		$912.01	$1,202.26	$1,548.82
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 $954.99 / $1,318.26 / $3,467.37	Professional		$954.99	$1,318.26	$3,467.37