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 $1,230.27 / $1,584.89 / $6,309.57	Professional		$1,230.27	$1,584.89	$6,309.57
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 $1,778.28 / $2,454.71 / $4,677.35	Professional		$1,778.28	$2,454.71	$4,677.35
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 $1,174.90 / $1,698.24 / $3,981.07	Professional		$1,174.90	$1,698.24	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,548.13	Professional		$1,258.93	$1,584.89	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,348.96 / $1,737.80	Professional		$1,258.93	$1,348.96	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,454.71	Professional		$1,122.02	$1,479.11	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Professional		$12,882.50	$12,882.50	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,511.89	Facility		$1,318.26	$1,698.24	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,548.13	Professional		$1,258.93	$1,584.89	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,691.53	Professional		$1,230.27	$1,778.28	$2,691.53
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 $1,096.48 / $1,513.56 / $3,388.44	Professional		$1,096.48	$1,513.56	$3,388.44