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 $1,584.89 / $1,995.26 / $7,244.36	Professional		$1,584.89	$1,995.26	$7,244.36
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 $2,290.87 / $3,162.28 / $6,025.60	Professional		$2,290.87	$3,162.28	$6,025.60
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 $1,659.59 / $2,041.74 / $4,570.88	Professional		$1,659.59	$2,041.74	$4,570.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,187.76	Professional		$1,445.44	$1,659.59	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,019.95	Professional		$1,412.54	$1,819.70	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $47,863.01	Facility		$54.95	$56.23	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $19,952.62 / $19,952.62	Professional		$19,952.62	$19,952.62	$19,952.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $3,715.35	Facility		$1,737.80	$2,187.76	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $4,570.88	Professional		$1,621.81	$2,041.74	$4,570.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,090.30	Professional		$1,445.44	$2,041.74	$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 $1,380.38 / $1,949.84 / $4,265.80	Professional		$1,380.38	$1,949.84	$4,265.80