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 $1,513.56 / $1,905.46 / $6,918.31	Professional		$1,513.56	$1,905.46	$6,918.31
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 $2,187.76 / $2,884.03 / $5,754.40	Professional		$2,187.76	$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 / $2,137.96 / $5,011.87	Professional		$1,445.44	$2,137.96	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $4,265.80	Professional		$1,548.82	$1,949.84	$4,265.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $2,089.30	Professional		$1,479.11	$1,584.89	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,884.03	Professional		$1,348.96	$1,737.80	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $36,307.81	Facility		$54.95	$56.23	$36,307.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Professional		$18,197.01	$18,197.01	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,388.44	Facility		$1,584.89	$2,089.30	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $4,265.80	Professional		$1,513.56	$1,949.84	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,162.28	Professional		$1,445.44	$2,089.30	$3,162.28
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 $1,318.26 / $1,862.09 / $4,073.80	Professional		$1,318.26	$1,862.09	$4,073.80