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 $1,548.82 / $1,905.46 / $6,918.31	Professional		$1,548.82	$1,905.46	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,754.40	Professional		$2,137.96	$3,019.95	$5,754.40
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 $1,659.59 / $2,398.83 / $5,128.61	Professional		$1,659.59	$2,398.83	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $4,365.16	Professional		$1,621.81	$1,995.26	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $1,862.09	Professional		$1,258.93	$1,445.44	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,090.30	Professional		$1,258.93	$1,659.59	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $27,542.29	Facility		$54.95	$56.23	$27,542.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $13,182.57 / $13,182.57	Professional		$10,715.19	$13,182.57	$13,182.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $2,951.21	Facility		$1,621.81	$2,137.96	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,995.26 / $4,365.16	Professional		$1,621.81	$1,995.26	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
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 $1,348.96 / $1,949.84 / $4,168.69	Professional		$1,348.96	$1,949.84	$4,168.69