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 / $22,908.68	Facility		$3,715.35	$9,549.93	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $5,754.40	Professional		$1,202.26	$1,412.54	$5,754.40
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 $1,584.89 / $2,041.74 / $4,073.80	Professional		$1,584.89	$2,041.74	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $8,128.31	Facility		$63.10	$100.00	$8,128.31
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 $1,288.25 / $1,737.80 / $3,548.13	Professional		$1,288.25	$1,737.80	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,949.84	Professional		$1,071.52	$1,445.44	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,311.31	Professional		$1,174.90	$1,548.82	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,589.25	Facility		$54.95	$56.23	$12,589.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,818.38	Facility		$1,318.26	$1,737.80	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $3,548.13	Professional		$1,258.93	$1,778.28	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,290.87	Professional		$1,174.90	$1,621.81	$2,290.87
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 $1,071.52 / $1,412.54 / $3,019.95	Professional		$1,071.52	$1,412.54	$3,019.95