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 $1,412.54 / $1,778.28 / $6,456.54	Professional		$1,412.54	$1,778.28	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $15,848.93 / $28,840.32	Facility		$9,120.11	$15,848.93	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $5,248.07	Professional		$1,737.80	$2,570.40	$5,248.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $4,570.88	Professional		$1,348.96	$1,995.26	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,981.07	Professional		$1,445.44	$1,778.28	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $2,238.72	Professional		$1,479.11	$1,778.28	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,570.40	Professional		$1,230.27	$1,621.81	$2,570.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $33,113.11	Facility		$54.95	$56.23	$33,113.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $12,022.64 / $12,022.64	Professional		$11,481.54	$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 $1,479.11 / $1,949.84 / $3,162.28	Facility		$1,479.11	$1,949.84	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $3,981.07	Professional		$1,412.54	$1,778.28	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $3,801.89	Professional		$1,348.96	$2,454.71	$3,801.89
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 / $1,698.24 / $3,715.35	Professional		$1,202.26	$1,698.24	$3,715.35