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 $1,288.25 / $1,621.81 / $6,456.54	Professional		$1,288.25	$1,621.81	$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 $1,202.26 / $2,398.83 / $4,897.79	Professional		$1,202.26	$2,398.83	$4,897.79
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 $1,380.38 / $1,949.84 / $4,265.80	Professional		$1,380.38	$1,949.84	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $3,715.35	Professional		$1,348.96	$1,698.24	$3,715.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,230.27 / $1,584.89	Professional		$1,202.26	$1,230.27	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,630.27	Professional		$1,047.13	$1,380.38	$2,630.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $11,220.18 / $11,220.18	Professional		$10,471.29	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,570.40	Facility		$1,318.26	$1,778.28	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,890.45	Professional		$1,318.26	$1,698.24	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $2,570.40	Professional		$1,096.48	$1,659.59	$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 $1,122.02 / $1,621.81 / $3,467.37	Professional		$1,122.02	$1,621.81	$3,467.37