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 / $1,737.80 / $6,165.95	Professional		$1,380.38	$1,737.80	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,570.88	Professional		$1,698.24	$2,290.87	$4,570.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $4,168.69	Professional		$1,445.44	$2,137.96	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,981.07	Professional		$1,412.54	$1,862.09	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $1,737.80	Professional		$1,023.29	$1,445.44	$1,737.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,884.03	Professional		$1,230.27	$1,621.81	$2,884.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $13,182.57	Facility		$54.95	$56.23	$13,182.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $12,022.64 / $12,022.64	Professional		$10,715.19	$12,022.64	$12,022.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,884.03	Facility		$1,479.11	$1,949.84	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $3,801.89	Professional		$1,380.38	$1,819.70	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,187.76	Professional		$1,174.90	$1,513.56	$2,187.76
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 $1,230.27 / $1,778.28 / $4,073.80	Professional		$1,230.27	$1,778.28	$4,073.80