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 / $1,778.28 / $7,244.36	Professional		$1,380.38	$1,778.28	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $5,370.32	Professional		$2,041.74	$2,754.23	$5,370.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $85.11 / $100.00	Facility		$52.48	$85.11	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,041.74 / $4,677.35	Professional		$1,380.38	$2,041.74	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $4,466.84	Professional		$1,513.56	$1,862.09	$4,466.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,737.80	Professional		$1,148.15	$1,348.96	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $2,884.03	Professional		$1,174.90	$1,548.82	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,454.40	Facility		$54.95	$56.23	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $12,302.69 / $12,302.69	Professional		$10,000.00	$12,302.69	$12,302.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,754.23	Facility		$1,380.38	$1,819.70	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $4,365.16	Professional		$1,513.56	$1,862.09	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $1,949.84	Professional		$1,096.48	$1,513.56	$1,949.84
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 $1,230.27 / $1,819.70 / $3,890.45	Professional		$1,230.27	$1,819.70	$3,890.45