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 $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 $1,995.26 / $2,691.53 / $5,370.32	Professional		$1,995.26	$2,691.53	$5,370.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $4,677.35	Professional		$1,479.11	$2,137.96	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,981.07	Professional		$1,445.44	$1,819.70	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $1,862.09	Professional		$1,288.25	$1,479.11	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,754.23	Professional		$1,122.02	$1,445.44	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,118.86	Facility		$54.95	$56.23	$25,118.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $12,022.64 / $12,022.64	Professional		$10,000.00	$12,022.64	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,691.53	Facility		$1,445.44	$1,949.84	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $3,981.07	Professional		$1,412.54	$1,819.70	$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 $1,174.90 / $2,089.30 / $3,162.28	Professional		$1,174.90	$2,089.30	$3,162.28
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 $1,230.27 / $1,737.80 / $3,715.35	Professional		$1,230.27	$1,737.80	$3,715.35