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 $954.99 / $1,202.26 / $4,897.79	Professional		$954.99	$1,202.26	$4,897.79
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 $1,023.29 / $1,819.70 / $3,630.78	Professional		$1,023.29	$1,819.70	$3,630.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,025.60 / $16,982.44	Facility		$66.07	$6,025.60	$16,982.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $3,235.94	Professional		$1,023.29	$1,479.11	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,754.23	Professional		$1,023.29	$1,258.93	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,412.54	Professional		$741.31	$912.01	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,819.70	Professional		$794.33	$1,023.29	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,803.84	Facility		$54.95	$56.23	$13,803.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $8,317.64 / $8,317.64	Professional		$6,760.83	$8,317.64	$8,317.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,995.26	Facility		$1,023.29	$1,348.96	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,754.23	Professional		$1,023.29	$1,258.93	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,584.89	Professional		$741.31	$1,047.13	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $14,125.38 / $28,840.32	Facility		$7,762.47	$14,125.38	$28,840.32
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,570.40	Professional		$831.76	$1,202.26	$2,570.40