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 $1,122.02 / $1,412.54 / $6,025.60	Professional		$1,122.02	$1,412.54	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $18,620.87	Facility		$6,918.31	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,265.80	Professional		$1,548.82	$2,089.30	$4,265.80
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 $1,096.48 / $1,621.81 / $3,715.35	Professional		$1,096.48	$1,621.81	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,235.94	Professional		$1,174.90	$1,445.44	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $1,548.82	Professional		$1,023.29	$1,230.27	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,187.76	Professional		$1,023.29	$1,348.96	$2,187.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,892.96	Facility		$54.95	$56.23	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,187.76	Facility		$1,202.26	$1,548.82	$2,187.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,235.94	Professional		$1,148.15	$1,445.44	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,187.76	Professional		$1,023.29	$1,412.54	$2,187.76
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 $977.24 / $1,380.38 / $3,019.95	Professional		$977.24	$1,380.38	$3,019.95