Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $22,908.68	Facility		$4,168.69	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $9,549.93	Professional		$1,513.56	$1,862.09	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $4,677.35	Professional		$1,202.26	$1,995.26	$4,677.35
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 $1,202.26 / $1,698.24 / $3,715.35	Professional		$1,202.26	$1,698.24	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $4,365.16	Professional		$1,023.29	$1,995.26	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,778.28 / $2,398.83	Professional		$831.76	$1,778.28	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,548.13	Professional		$1,445.44	$1,905.46	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,022.64	Facility		$54.95	$56.23	$12,022.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $15,135.61 / $15,135.61	Professional		$12,589.25	$15,135.61	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $3,162.28	Facility		$1,230.27	$1,949.84	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $4,466.84	Professional		$1,023.29	$2,089.30	$4,466.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,862.09	Professional		$1,047.13	$1,445.44	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,659.59 / $3,630.78	Professional		$1,023.29	$1,659.59	$3,630.78