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 $1,621.81 / $2,137.96 / $7,413.10	Professional		$1,621.81	$2,137.96	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,090.30 / $6,309.57	Professional		$2,187.76	$3,090.30	$6,309.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $5,495.41	Professional		$1,621.81	$2,344.23	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $4,786.30	Professional		$1,698.24	$2,137.96	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,698.24 / $2,137.96	Professional		$1,445.44	$1,698.24	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $3,981.07	Professional		$1,445.44	$1,862.09	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $39,810.72	Facility		$54.95	$56.23	$39,810.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,235.94	Facility		$1,659.59	$2,187.76	$3,235.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $4,786.30	Professional		$1,698.24	$2,137.96	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,090.30	Professional		$1,445.44	$1,995.26	$3,090.30
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 $1,445.44 / $2,041.74 / $4,466.84	Professional		$1,445.44	$2,041.74	$4,466.84