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 / $21,379.62	Facility		$4,168.69	$10,471.29	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $9,332.54	Professional		$1,513.56	$1,995.26	$9,332.54
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 $1,445.44 / $2,089.30 / $4,786.30	Professional		$1,445.44	$2,089.30	$4,786.30
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 $1,230.27 / $1,778.28 / $3,890.45	Professional		$1,230.27	$1,778.28	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,041.74 / $4,365.16	Professional		$1,230.27	$2,041.74	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,778.28 / $2,238.72	Professional		$1,023.29	$1,778.28	$2,238.72
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 / $10,964.78	Facility		$54.95	$56.23	$10,964.78
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 $1,380.38 / $1,949.84 / $3,162.28	Facility		$1,380.38	$1,949.84	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $4,466.84	Professional		$1,230.27	$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 $1,288.25 / $1,621.81 / $2,187.76	Professional		$1,288.25	$1,621.81	$2,187.76
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 $1,148.15 / $1,659.59 / $3,630.78	Professional		$1,148.15	$1,659.59	$3,630.78