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 / $6,309.57	Professional		$1,445.44	$1,778.28	$6,309.57
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 $1,949.84 / $2,884.03 / $5,495.41	Professional		$1,949.84	$2,884.03	$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 $1,548.82 / $2,238.72 / $4,897.79	Professional		$1,548.82	$2,238.72	$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 $1,122.02 / $1,380.38 / $1,737.80	Professional		$1,122.02	$1,380.38	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,951.21	Professional		$1,202.26	$1,548.82	$2,951.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $18,197.01	Facility		$54.95	$56.23	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,791.08 / $14,791.08 / $14,791.08	Professional		$14,791.08	$14,791.08	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,235.94	Facility		$1,548.82	$2,041.74	$3,235.94
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 $4,677.35 / $4,677.35 / $4,677.35	Professional		$4,677.35	$4,677.35	$4,677.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,398.83	Professional		$1,122.02	$1,584.89	$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 $1,258.93 / $1,819.70 / $3,981.07	Professional		$1,258.93	$1,819.70	$3,981.07