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 $1,698.24 / $2,137.96 / $7,585.78	Professional		$1,698.24	$2,137.96	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $13,182.57 / $22,387.21	Facility		$7,413.10	$13,182.57	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,623.41	Professional		$2,089.30	$2,818.38	$5,623.41
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 $1,778.28 / $2,630.27 / $5,128.61	Professional		$1,778.28	$2,630.27	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $4,897.79	Professional		$1,737.80	$2,290.87	$4,897.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $2,137.96	Professional		$1,288.25	$1,778.28	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,548.13	Professional		$1,479.11	$1,995.26	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $14,125.38	Facility		$54.95	$56.23	$14,125.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $14,791.08 / $14,791.08	Professional		$13,182.57	$14,791.08	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $3,801.89	Facility		$1,819.70	$2,290.87	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,677.35	Professional		$1,698.24	$2,290.87	$4,677.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,754.23	Professional		$1,445.44	$1,949.84	$2,754.23
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 $1,513.56 / $2,187.76 / $5,011.87	Professional		$1,513.56	$2,187.76	$5,011.87