Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,232.93 / $21,379.62	Facility		$4,168.69	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $9,120.11	Professional		$1,445.44	$1,862.09	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $5,011.87	Professional		$1,862.09	$2,570.40	$5,011.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $11,481.54	Facility		$63.10	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $4,677.35	Professional		$1,698.24	$2,454.71	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $4,168.69	Professional		$1,584.89	$2,041.74	$4,168.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,290.87	Professional		$1,258.93	$1,698.24	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,388.44	Professional		$1,380.38	$1,819.70	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,488.17	Facility		$54.95	$56.23	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Professional		$17,782.79	$17,782.79	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,548.13	Facility		$1,621.81	$2,089.30	$3,548.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $4,265.80	Professional		$1,548.82	$2,137.96	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,691.53	Professional		$1,380.38	$1,905.46	$2,691.53
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 $1,288.25 / $1,737.80 / $3,715.35	Professional		$1,288.25	$1,737.80	$3,715.35