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 $1,348.96 / $1,737.80 / $6,025.60	Professional		$1,348.96	$1,737.80	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $4,897.79	Professional		$1,819.70	$2,511.89	$4,897.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $4,168.69	Professional		$1,445.44	$2,089.30	$4,168.69
Cigna 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
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $1,819.70	Professional		$1,000.00	$1,513.56	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,162.28	Professional		$1,288.25	$1,698.24	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,589.25 / $12,589.25	Professional		$10,715.19	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,019.95	Facility		$1,412.54	$1,905.46	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,801.89	Professional		$1,380.38	$1,819.70	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,698.24	Professional		$1,000.00	$1,412.54	$1,698.24
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 $1,202.26 / $1,659.59 / $4,073.80	Professional		$1,202.26	$1,659.59	$4,073.80