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 $1,148.15 / $1,445.44 / $6,025.60	Professional		$1,148.15	$1,445.44	$6,025.60
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 $1,412.54 / $1,905.46 / $3,801.89	Professional		$1,412.54	$1,905.46	$3,801.89
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 $1,174.90 / $1,737.80 / $3,388.44	Professional		$1,174.90	$1,737.80	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,388.44	Professional		$1,174.90	$1,548.82	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,659.59	Professional		$1,122.02	$1,230.27	$1,659.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,454.71	Professional		$1,047.13	$1,380.38	$2,454.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,220.18	Facility		$54.95	$56.23	$11,220.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,232.93 / $10,232.93	Professional		$9,772.37	$10,232.93	$10,232.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,754.23	Facility		$1,258.93	$1,659.59	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,235.94	Professional		$1,148.15	$1,548.82	$3,235.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Professional		$3,981.07	$3,981.07	$3,981.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,398.83	Professional		$1,122.02	$1,548.82	$2,398.83
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 $1,023.29 / $1,479.11 / $3,467.37	Professional		$1,023.29	$1,479.11	$3,467.37