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 $1,071.52 / $1,348.96 / $6,025.60	Professional		$1,071.52	$1,348.96	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,309.57 / $13,803.84	Facility		$3,630.78	$6,309.57	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $3,548.13	Professional		$1,318.26	$1,778.28	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $6,025.60	Facility		$60.26	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,162.28	Professional		$1,122.02	$1,621.81	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $3,090.30	Professional		$1,096.48	$1,445.44	$3,090.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,348.96	Professional		$851.14	$1,148.15	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,238.72	Professional		$954.99	$1,258.93	$2,238.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,232.93	Facility		$54.95	$56.23	$10,232.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $9,332.54 / $9,332.54	Professional		$8,317.64	$9,332.54	$9,332.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,238.72	Facility		$1,174.90	$1,513.56	$2,238.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $3,019.95	Professional		$1,071.52	$1,412.54	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,819.70	Professional		$912.01	$1,258.93	$1,819.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,162.28	Professional		$954.99	$1,380.38	$3,162.28