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 $1,584.89 / $1,995.26 / $7,244.36	Professional		$1,584.89	$1,995.26	$7,244.36
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 $1,778.28 / $3,019.95 / $5,888.44	Professional		$1,778.28	$3,019.95	$5,888.44
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 / $5,248.07	Professional		$1,659.59	$2,398.83	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $4,466.84	Professional		$1,659.59	$2,041.74	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,479.11 / $1,862.09	Professional		$1,202.26	$1,479.11	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $3,235.94	Professional		$1,288.25	$1,698.24	$3,235.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $28,840.32	Facility		$54.95	$56.23	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $13,803.84 / $13,803.84	Professional		$11,220.18	$13,803.84	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,019.95	Facility		$1,659.59	$2,187.76	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $4,466.84	Professional		$1,621.81	$2,041.74	$4,466.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,570.40	Professional		$1,202.26	$1,659.59	$2,570.40
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 $1,380.38 / $1,995.26 / $4,265.80	Professional		$1,380.38	$1,995.26	$4,265.80