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 $1,380.38 / $1,698.24 / $6,456.54	Professional		$1,380.38	$1,698.24	$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 $1,737.80 / $2,691.53 / $5,248.07	Professional		$1,737.80	$2,691.53	$5,248.07
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 $1,047.13 / $1,548.82 / $3,715.35	Professional		$1,047.13	$1,548.82	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $3,801.89	Professional		$1,380.38	$1,737.80	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,698.24	Professional		$1,202.26	$1,288.25	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,818.38	Professional		$1,122.02	$1,479.11	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $11,748.98 / $11,748.98	Professional		$10,232.93	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,511.89	Facility		$1,380.38	$1,778.28	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $3,890.45	Professional		$1,318.26	$1,737.80	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,041.74	Professional		$1,047.13	$1,445.44	$2,041.74
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 $1,174.90 / $1,737.80 / $3,801.89	Professional		$1,174.90	$1,737.80	$3,801.89