Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,471.29 / $22,908.68	Facility		$4,466.84	$10,471.29	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $6,025.60	Professional		$1,318.26	$1,698.24	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,715.19 / $17,782.79	Facility		$6,025.60	$10,715.19	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $4,897.79	Professional		$1,737.80	$2,398.83	$4,897.79
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 $1,584.89 / $2,290.87 / $4,466.84	Professional		$1,584.89	$2,290.87	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,801.89	Professional		$1,445.44	$1,819.70	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,905.46	Professional		$1,258.93	$1,445.44	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,884.03	Professional		$1,258.93	$1,659.59	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,840.32	Facility		$54.95	$56.23	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $12,302.69 / $12,302.69	Professional		$10,000.00	$12,302.69	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $3,235.94	Facility		$1,513.56	$1,905.46	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,801.89	Professional		$1,412.54	$1,819.70	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,691.53	Professional		$1,258.93	$1,778.28	$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 $1,174.90 / $1,621.81 / $3,981.07	Professional		$1,174.90	$1,621.81	$3,981.07