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 $1,174.90 / $1,479.11 / $5,370.32	Professional		$1,174.90	$1,479.11	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,890.45	Professional		$1,445.44	$1,949.84	$3,890.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $6,456.54	Facility		$63.10	$100.00	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $3,548.13	Professional		$1,230.27	$1,819.70	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $3,388.44	Professional		$1,174.90	$1,584.89	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,258.93 / $1,513.56	Professional		$851.14	$1,258.93	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,691.53	Professional		$1,071.52	$1,412.54	$2,691.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,000.00	Facility		$54.95	$56.23	$10,000.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $21,877.62	Professional		$10,471.29	$10,471.29	$21,877.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,630.27	Facility		$1,288.25	$1,659.59	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $3,311.31	Professional		$1,174.90	$1,548.82	$3,311.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $1,819.70	Professional		$1,023.29	$1,288.25	$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 $1,047.13 / $1,513.56 / $3,548.13	Professional		$1,047.13	$1,513.56	$3,548.13