Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $6,025.60	Professional		$870.96	$1,258.93	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,511.38 / $15,848.93	Facility		$4,570.88	$8,511.38	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $3,311.31	Professional		$1,230.27	$1,659.59	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $7,244.36 / $19,054.61	Facility		$66.07	$7,244.36	$19,054.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,951.21	Professional		$1,000.00	$1,412.54	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,884.03	Professional		$1,000.00	$1,348.96	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $1,778.28	Professional		$954.99	$1,318.26	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,511.89	Professional		$1,071.52	$1,412.54	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $10,471.29 / $10,471.29	Professional		$8,709.64	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,137.96	Facility		$1,148.15	$1,445.44	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $3,090.30	Professional		$1,000.00	$1,380.38	$3,090.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,041.74	Professional		$1,071.52	$1,412.54	$2,041.74
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 $891.25 / $1,174.90 / $2,454.71	Professional		$891.25	$1,174.90	$2,454.71