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 $1,288.25 / $1,621.81 / $6,456.54	Professional		$1,288.25	$1,621.81	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $5,011.87	Professional		$1,905.46	$2,630.27	$5,011.87
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 $1,318.26 / $1,905.46 / $4,365.16	Professional		$1,318.26	$1,905.46	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $3,715.35	Professional		$1,380.38	$1,659.59	$3,715.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,778.28	Professional		$1,380.38	$1,412.54	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,511.89	Professional		$1,148.15	$1,513.56	$2,511.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $38,904.51	Facility		$54.95	$56.23	$38,904.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $18,197.01	Professional		$16,982.44	$16,982.44	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,019.95	Facility		$1,412.54	$1,819.70	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $3,715.35	Professional		$1,318.26	$1,659.59	$3,715.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $3,019.95	Professional		$1,258.93	$1,949.84	$3,019.95
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 $1,122.02 / $1,584.89 / $3,467.37	Professional		$1,122.02	$1,584.89	$3,467.37