Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,549.93 / $23,988.33	Facility		$3,630.78	$9,549.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $6,025.60	Professional		$1,202.26	$1,513.56	$6,025.60
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 $1,548.82 / $1,949.84 / $4,073.80	Professional		$1,548.82	$1,949.84	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,456.54	Facility		$63.10	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,715.35	Professional		$1,318.26	$1,905.46	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $3,467.37	Professional		$1,258.93	$1,698.24	$3,467.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,905.46	Professional		$1,047.13	$1,412.54	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,090.30	Professional		$1,148.15	$1,513.56	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $9,120.11	Facility		$54.95	$56.23	$9,120.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $12,589.25	Professional		$12,589.25	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,754.23	Facility		$1,318.26	$1,698.24	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,467.37	Professional		$1,230.27	$1,737.80	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,238.72	Professional		$1,148.15	$1,548.82	$2,238.72
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 $1,047.13 / $1,380.38 / $2,951.21	Professional		$1,047.13	$1,380.38	$2,951.21