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 $1,096.48 / $1,380.38 / $5,623.41	Professional		$1,096.48	$1,380.38	$5,623.41
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 $1,445.44 / $2,137.96 / $4,168.69	Professional		$1,445.44	$2,137.96	$4,168.69
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 $1,174.90 / $1,698.24 / $3,715.35	Professional		$1,174.90	$1,698.24	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,090.30	Professional		$1,148.15	$1,445.44	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,412.54	Professional		$1,047.13	$1,122.02	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $2,238.72	Professional		$912.01	$1,174.90	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,454.71	Facility		$1,174.90	$1,548.82	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,445.44 / $3,162.28	Professional		$1,148.15	$1,445.44	$3,162.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,548.82 / $2,398.83	Professional		$954.99	$1,548.82	$2,398.83
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 $954.99 / $1,380.38 / $3,019.95	Professional		$954.99	$1,380.38	$3,019.95