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 $1,318.26 / $1,698.24 / $6,165.95	Professional		$1,318.26	$1,698.24	$6,165.95
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 $1,698.24 / $2,398.83 / $4,786.30	Professional		$1,698.24	$2,398.83	$4,786.30
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 $1,288.25 / $1,659.59 / $3,715.35	Professional		$1,288.25	$1,659.59	$3,715.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $1,737.80	Professional		$1,096.48	$1,380.38	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,570.40	Professional		$1,174.90	$1,513.56	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,570.40	Facility		$1,380.38	$1,778.28	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $3,715.35	Professional		$1,288.25	$1,659.59	$3,715.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,344.23	Professional		$1,122.02	$1,548.82	$2,344.23
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 $1,148.15 / $1,584.89 / $3,548.13	Professional		$1,148.15	$1,584.89	$3,548.13