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 $1,445.44 / $1,778.28 / $8,709.64	Professional		$1,445.44	$1,778.28	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,398.83 / $4,786.30	Professional		$1,698.24	$2,398.83	$4,786.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $9,120.11	Facility		$63.10	$100.00	$9,120.11
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 $1,548.82 / $2,041.74 / $4,168.69	Professional		$1,548.82	$2,041.74	$4,168.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,238.72	Professional		$1,230.27	$1,659.59	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,235.94	Professional		$1,348.96	$1,778.28	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,388.44	Facility		$1,548.82	$2,041.74	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $4,168.69	Professional		$1,513.56	$2,089.30	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,630.27	Professional		$1,348.96	$1,819.70	$2,630.27
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 $1,258.93 / $1,698.24 / $3,548.13	Professional		$1,258.93	$1,698.24	$3,548.13