Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $21,379.62	Facility		$4,466.84	$10,232.93	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $8,511.38	Professional		$1,380.38	$1,737.80	$8,511.38
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 $1,584.89 / $2,290.87 / $4,677.35	Professional		$1,584.89	$2,290.87	$4,677.35
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 $1,621.81 / $2,344.23 / $4,466.84	Professional		$1,621.81	$2,344.23	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,981.07	Professional		$1,548.82	$1,995.26	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,584.89 / $2,137.96	Professional		$977.24	$1,584.89	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,235.94	Professional		$1,318.26	$1,737.80	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $12,882.50	Facility		$54.95	$56.23	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $13,803.84 / $13,803.84	Professional		$11,748.98	$13,803.84	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $3,090.30	Facility		$1,548.82	$1,949.84	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,073.80	Professional		$1,548.82	$2,041.74	$4,073.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,089.30	Professional		$1,230.27	$1,445.44	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $17,782.79 / $38,904.51	Facility		$9,549.93	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,467.37	Professional		$1,258.93	$1,659.59	$3,467.37