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 $1,584.89 / $2,089.30 / $7,413.10	Professional		$1,584.89	$2,089.30	$7,413.10
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 $1,445.44 / $3,019.95 / $6,165.95	Professional		$1,445.44	$3,019.95	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $9,332.54	Facility		$61.66	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $5,623.41	Professional		$1,737.80	$2,511.89	$5,623.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $4,677.35	Professional		$1,737.80	$2,137.96	$4,677.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,819.70	Professional		$707.95	$891.25	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,090.30	Professional		$1,318.26	$1,698.24	$3,090.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $29,512.09	Facility		$54.95	$56.23	$29,512.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $14,125.38 / $14,125.38	Professional		$11,481.54	$14,125.38	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,162.28	Facility		$1,513.56	$2,089.30	$3,162.28
Providence 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
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Professional		$5,623.41	$5,623.41	$5,623.41
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,621.81	Professional		$891.25	$1,230.27	$1,621.81
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 $1,479.11 / $2,089.30 / $4,570.88	Professional		$1,479.11	$2,089.30	$4,570.88