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 $1,445.44 / $1,862.09 / $6,760.83	Professional		$1,445.44	$1,862.09	$6,760.83
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 $2,187.76 / $2,951.21 / $5,623.41	Professional		$2,187.76	$2,951.21	$5,623.41
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 $1,584.89 / $2,290.87 / $4,897.79	Professional		$1,584.89	$2,290.87	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $4,073.80	Professional		$1,548.82	$1,905.46	$4,073.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $1,778.28	Professional		$1,202.26	$1,380.38	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,019.95	Professional		$1,202.26	$1,584.89	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,302.68	Facility		$54.95	$56.23	$26,302.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $12,882.50 / $12,882.50	Professional		$10,471.29	$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 $1,548.82 / $2,089.30 / $2,818.38	Facility		$1,548.82	$2,089.30	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $4,168.69	Professional		$1,513.56	$1,905.46	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
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 $1,288.25 / $1,862.09 / $3,981.07	Professional		$1,288.25	$1,862.09	$3,981.07