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 $1,479.11 / $1,905.46 / $6,918.31	Professional		$1,479.11	$1,905.46	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $13,182.57 / $22,387.21	Facility		$7,413.10	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $5,623.41	Professional		$1,995.26	$2,754.23	$5,623.41
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 $1,513.56 / $2,187.76 / $5,011.87	Professional		$1,513.56	$2,187.76	$5,011.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $4,265.80	Professional		$1,513.56	$1,905.46	$4,265.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $1,949.84	Professional		$1,230.27	$1,548.82	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,235.94	Professional		$1,318.26	$1,698.24	$3,235.94
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 / $12,882.50 / $12,882.50	Professional		$10,715.19	$12,882.50	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,884.03	Facility		$1,621.81	$2,041.74	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $4,265.80	Professional		$1,479.11	$1,905.46	$4,265.80
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 / $2,630.27	Professional		$1,258.93	$1,737.80	$2,630.27
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 $1,318.26 / $1,862.09 / $4,073.80	Professional		$1,318.26	$1,862.09	$4,073.80