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 $1,096.48 / $1,445.44 / $6,025.60	Professional		$1,096.48	$1,445.44	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,981.07	Professional		$1,445.44	$1,995.26	$3,981.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $3,467.37	Professional		$1,230.27	$1,778.28	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,235.94	Professional		$1,122.02	$1,479.11	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $933.25 / $1,513.56	Professional		$616.60	$933.25	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,630.27	Professional		$1,071.52	$1,412.54	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,877.62	Facility		$54.95	$56.23	$21,877.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,471.29 / $10,471.29	Professional		$8,511.38	$10,471.29	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,454.71	Facility		$1,174.90	$1,548.82	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,235.94	Professional		$1,122.02	$1,479.11	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,380.38	Professional		$776.25	$1,047.13	$1,380.38
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 $1,000.00 / $1,380.38 / $3,388.44	Professional		$1,000.00	$1,380.38	$3,388.44