Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,000.00 / $22,908.68	Facility		$4,466.84	$10,000.00	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $7,079.46	Professional		$1,548.82	$1,995.26	$7,079.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,748.98 / $19,498.45	Facility		$6,456.54	$11,748.98	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,754.40	Professional		$2,089.30	$2,884.03	$5,754.40
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 / $4,897.79	Professional		$1,445.44	$2,089.30	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,466.84	Professional		$1,548.82	$1,995.26	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,041.74	Professional		$1,230.27	$1,548.82	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,884.03	Professional		$1,380.38	$1,819.70	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $19,498.45	Facility		$54.95	$56.23	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $13,489.63 / $13,489.63	Professional		$11,481.54	$13,489.63	$13,489.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,884.03	Facility		$1,621.81	$2,137.96	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $4,466.84	Professional		$1,548.82	$1,995.26	$4,466.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,630.27	Professional		$1,318.26	$1,819.70	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,168.69	Professional		$1,348.96	$1,905.46	$4,168.69