Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,232.93 / $21,379.62	Facility		$4,168.69	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $7,943.28	Professional		$1,548.82	$2,137.96	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $5,011.87	Professional		$1,949.84	$2,570.40	$5,011.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $11,481.54	Facility		$63.10	$100.00	$11,481.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $4,786.30	Professional		$1,737.80	$2,511.89	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $4,365.16	Professional		$1,698.24	$2,137.96	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,290.87	Professional		$1,258.93	$1,698.24	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,388.44	Professional		$1,412.54	$1,862.09	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,489.63	Facility		$54.95	$56.23	$13,489.63
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $16,982.44	Professional		$14,454.40	$14,454.40	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,311.31	Facility		$1,659.59	$2,137.96	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $4,365.16	Professional		$1,698.24	$2,187.76	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,691.53	Professional		$1,380.38	$1,905.46	$2,691.53
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 $1,348.96 / $1,819.70 / $3,630.78	Professional		$1,348.96	$1,819.70	$3,630.78