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 $1,380.38 / $1,737.80 / $6,309.57	Professional		$1,380.38	$1,737.80	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,570.40 / $5,248.07	Professional		$1,202.26	$2,570.40	$5,248.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,677.35	Professional		$1,513.56	$2,187.76	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $3,981.07	Professional		$1,479.11	$1,862.09	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,584.89	Professional		$741.31	$933.25	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,570.40	Professional		$1,148.15	$1,479.11	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $12,022.64 / $12,022.64	Professional		$9,772.37	$12,022.64	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,691.53	Facility		$1,412.54	$1,905.46	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $4,265.80	Professional		$1,445.44	$1,862.09	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,584.89	Professional		$933.25	$1,230.27	$1,584.89
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 $1,202.26 / $1,737.80 / $3,801.89	Professional		$1,202.26	$1,737.80	$3,801.89