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 $1,445.44 / $1,819.70 / $7,585.78	Professional		$1,445.44	$1,819.70	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,511.89 / $5,248.07	Professional		$1,023.29	$2,511.89	$5,248.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $4,677.35	Professional		$1,380.38	$2,041.74	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,890.45	Professional		$1,445.44	$1,819.70	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $1,479.11	Professional		$501.19	$630.96	$1,479.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,630.27	Professional		$1,071.52	$1,380.38	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,442.29	Facility		$54.95	$56.23	$23,442.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $11,220.18 / $11,220.18	Professional		$9,120.11	$11,220.18	$11,220.18
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 $1,202.26 / $1,778.28 / $2,630.27	Facility		$1,202.26	$1,778.28	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $4,073.80	Professional		$1,380.38	$1,819.70	$4,073.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,174.90	Professional		$630.96	$891.25	$1,174.90
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 / $1,698.24 / $3,801.89	Professional		$1,230.27	$1,698.24	$3,801.89