Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $22,387.21	Facility		$3,715.35	$8,912.51	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $7,413.10	Professional		$1,230.27	$1,513.56	$7,413.10
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 $1,513.56 / $2,041.74 / $4,168.69	Professional		$1,513.56	$2,041.74	$4,168.69
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 $1,380.38 / $1,995.26 / $3,801.89	Professional		$1,380.38	$1,995.26	$3,801.89
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 $1,122.02 / $1,445.44 / $1,949.84	Professional		$1,122.02	$1,445.44	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,754.23	Professional		$1,148.15	$1,513.56	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,302.69	Facility		$54.95	$56.23	$12,302.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $11,220.18 / $11,220.18	Professional		$10,964.78	$11,220.18	$11,220.18
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 / $1,737.80 / $2,754.23	Facility		$1,318.26	$1,737.80	$2,754.23
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 / $2,398.83	Professional		$1,174.90	$1,621.81	$2,398.83
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 / $1,445.44 / $3,090.30	Professional		$1,071.52	$1,445.44	$3,090.30