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 / $24,547.09	Facility		$4,466.84	$10,471.29	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $6,025.60	Professional		$1,174.90	$1,479.11	$6,025.60
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 $1,621.81 / $2,238.72 / $4,365.16	Professional		$1,621.81	$2,238.72	$4,365.16
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 $1,148.15 / $1,698.24 / $3,890.45	Professional		$1,148.15	$1,698.24	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $3,235.94	Professional		$1,202.26	$1,479.11	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $1,584.89	Professional		$1,023.29	$1,258.93	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $3,388.44	Professional		$1,047.13	$1,380.38	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,379.62	Facility		$54.95	$56.23	$21,379.62
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 $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,344.23	Facility		$1,258.93	$1,584.89	$2,344.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,235.94	Professional		$1,174.90	$1,479.11	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
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 $1,000.00 / $1,412.54 / $3,162.28	Professional		$1,000.00	$1,412.54	$3,162.28