Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,943.28 / $18,197.01	Facility		$3,090.30	$7,943.28	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $7,413.10	Professional		$1,288.25	$1,548.82	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,317.64 / $15,848.93	Facility		$4,570.88	$8,317.64	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $4,073.80	Professional		$1,202.26	$1,778.28	$4,073.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $4,786.30 / $18,197.01	Facility		$66.07	$4,786.30	$18,197.01
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,388.44	Professional		$1,096.48	$1,584.89	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,698.24 / $3,630.78	Professional		$1,071.52	$1,698.24	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,479.11 / $2,041.74	Professional		$891.25	$1,479.11	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,951.21	Professional		$1,230.27	$1,621.81	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $16,982.44	Facility		$1,995.26	$1,995.26	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,589.25 / $12,589.25	Professional		$10,471.29	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,630.27	Facility		$1,288.25	$1,659.59	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,778.28 / $3,715.35	Professional		$1,096.48	$1,778.28	$3,715.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $1,905.46	Professional		$1,122.02	$1,380.38	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,000.00 / $20,892.96	Facility		$5,370.32	$10,000.00	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $3,019.95	Professional		$1,000.00	$1,412.54	$3,019.95