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 / $1,778.28 / $6,456.54	Professional		$1,445.44	$1,778.28	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $5,495.41	Professional		$1,778.28	$2,754.23	$5,495.41
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 $1,230.27 / $1,778.28 / $4,073.80	Professional		$1,230.27	$1,778.28	$4,073.80
Cigna 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
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $1,659.59	Professional		$1,122.02	$1,348.96	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,884.03	Professional		$1,148.15	$1,513.56	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $17,378.01	Facility		$54.95	$56.23	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,302.69 / $12,302.69	Professional		$10,232.93	$12,302.69	$12,302.69
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 / $1,778.28 / $2,570.40	Facility		$1,445.44	$1,778.28	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $3,981.07	Professional		$1,380.38	$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 $1,071.52 / $1,445.44 / $1,905.46	Professional		$1,071.52	$1,445.44	$1,905.46
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 / $1,778.28 / $3,890.45	Professional		$1,230.27	$1,778.28	$3,890.45