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 $1,412.54 / $1,819.70 / $6,309.57	Professional		$1,412.54	$1,819.70	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $4,786.30	Professional		$1,548.82	$2,238.72	$4,786.30
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 $1,380.38 / $2,041.74 / $4,265.80	Professional		$1,380.38	$2,041.74	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,890.45	Professional		$1,412.54	$1,862.09	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,905.46	Professional		$1,023.29	$1,513.56	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,162.28	Professional		$1,348.96	$1,778.28	$3,162.28
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 $11,220.18 / $13,489.63 / $13,489.63	Professional		$11,220.18	$13,489.63	$13,489.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,019.95	Facility		$1,548.82	$1,995.26	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $4,073.80	Professional		$1,412.54	$1,862.09	$4,073.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,187.76	Professional		$1,288.25	$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 $1,288.25 / $1,778.28 / $4,365.16	Professional		$1,288.25	$1,778.28	$4,365.16