Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $10,964.78	Professional		$1,905.46	$2,454.71	$10,964.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,162.28 / $6,456.54	Professional		$2,089.30	$3,162.28	$6,456.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $12,882.50	Facility		$61.66	$100.00	$12,882.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $5,754.40	Professional		$1,819.70	$2,691.53	$5,754.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $5,495.41	Professional		$1,819.70	$2,570.40	$5,495.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,570.40	Professional		$1,258.93	$1,905.46	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $4,073.80	Professional		$1,737.80	$2,344.23	$4,073.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,218.10	Facility		$54.95	$56.23	$16,218.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $16,982.44 / $16,982.44	Professional		$14,791.08	$16,982.44	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,981.07	Facility		$1,949.84	$2,570.40	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $5,495.41	Professional		$1,737.80	$2,570.40	$5,495.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,949.84 / $2,691.53	Professional		$1,584.89	$1,949.84	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $5,888.44	Professional		$1,621.81	$2,238.72	$5,888.44