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 $1,621.81 / $2,089.30 / $7,585.78	Professional		$1,621.81	$2,089.30	$7,585.78
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 $1,621.81 / $2,951.21 / $6,309.57	Professional		$1,621.81	$2,951.21	$6,309.57
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 $1,659.59 / $2,398.83 / $5,495.41	Professional		$1,659.59	$2,398.83	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $4,786.30	Professional		$1,737.80	$2,137.96	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,187.76	Professional		$1,202.26	$1,513.56	$2,187.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,311.31	Professional		$1,479.11	$1,905.46	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $30,199.52	Facility		$54.95	$56.23	$30,199.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $14,454.40 / $14,454.40	Professional		$12,022.64	$14,454.40	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,162.28	Facility		$1,698.24	$2,238.72	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $4,786.30	Professional		$1,659.59	$2,089.30	$4,786.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,570.40	Professional		$1,412.54	$1,778.28	$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 $1,445.44 / $2,041.74 / $4,466.84	Professional		$1,445.44	$2,041.74	$4,466.84