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 $1,071.52 / $1,230.27 / $4,168.69	Professional		$1,071.52	$1,230.27	$4,168.69
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 $1,479.11 / $2,089.30 / $4,073.80	Professional		$1,479.11	$2,089.30	$4,073.80
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 $1,047.13 / $1,548.82 / $3,548.13	Professional		$1,047.13	$1,548.82	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $3,019.95	Professional		$1,122.02	$1,348.96	$3,019.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,412.54	Professional		$851.14	$1,071.52	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,570.40	Professional		$954.99	$1,258.93	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $31,622.78	Facility		$54.95	$56.23	$31,622.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $10,471.29	Professional		$9,332.54	$9,332.54	$10,471.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,137.96	Facility		$1,122.02	$1,479.11	$2,137.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,019.95	Professional		$1,071.52	$1,348.96	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,819.70	Professional		$912.01	$1,258.93	$1,819.70
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 $912.01 / $1,288.25 / $2,818.38	Professional		$912.01	$1,288.25	$2,818.38