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 $1,412.54 / $1,737.80 / $6,025.60	Professional		$1,412.54	$1,737.80	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,218.10 / $28,840.32	Facility		$11,220.18	$16,218.10	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,495.41	Professional		$2,089.30	$2,884.03	$5,495.41
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 / $4,786.30	Professional		$1,445.44	$2,089.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $4,073.80	Professional		$1,479.11	$1,819.70	$4,073.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $1,862.09	Professional		$1,258.93	$1,479.11	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,981.07	Professional		$1,258.93	$1,659.59	$3,981.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $41,686.94	Facility		$54.95	$56.23	$41,686.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $21,877.62	Professional		$19,054.61	$19,054.61	$21,877.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $3,311.31	Facility		$1,548.82	$1,949.84	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $4,073.80	Professional		$1,445.44	$1,819.70	$4,073.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
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 $1,230.27 / $1,737.80 / $3,801.89	Professional		$1,230.27	$1,737.80	$3,801.89