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 $1,348.96 / $1,698.24 / $6,025.60	Professional		$1,348.96	$1,698.24	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,803.84 / $22,908.68	Facility		$8,511.38	$13,803.84	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $5,248.07	Professional		$1,949.84	$2,754.23	$5,248.07
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 $1,445.44 / $2,089.30 / $4,677.35	Professional		$1,445.44	$2,089.30	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,890.45	Professional		$1,445.44	$1,778.28	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,862.09	Professional		$1,258.93	$1,412.54	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,630.78	Professional		$1,202.26	$1,584.89	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $16,595.87	Professional		$12,589.25	$12,589.25	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,951.21	Facility		$1,479.11	$1,905.46	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,890.45	Professional		$1,412.54	$1,778.28	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,691.53	Professional		$1,258.93	$1,737.80	$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 $1,202.26 / $1,698.24 / $3,715.35	Professional		$1,202.26	$1,698.24	$3,715.35