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 $1,023.29 / $1,288.25 / $4,365.16	Professional		$1,023.29	$1,288.25	$4,365.16
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 $1,174.90 / $1,819.70 / $3,630.78	Professional		$1,174.90	$1,819.70	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $3,090.30	Professional		$1,023.29	$1,479.11	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,951.21	Professional		$1,096.48	$1,380.38	$2,951.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $891.25 / $1,479.11	Professional		$588.84	$891.25	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,511.89	Professional		$1,023.29	$1,380.38	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,417.38	Facility		$54.95	$56.23	$20,417.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $9,772.37 / $9,772.37	Professional		$7,943.28	$9,772.37	$9,772.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $2,238.72	Facility		$1,148.15	$1,445.44	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,951.21	Professional		$1,047.13	$1,380.38	$2,951.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,348.96	Professional		$741.31	$1,000.00	$1,348.96
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 $912.01 / $1,258.93 / $3,162.28	Professional		$912.01	$1,258.93	$3,162.28