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 $891.25 / $1,071.52 / $4,466.84	Professional		$891.25	$1,071.52	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $10,471.29 / $17,782.79	Facility		$6,025.60	$10,471.29	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,951.21	Professional		$1,096.48	$1,479.11	$2,951.21
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 $912.01 / $1,348.96 / $2,630.27	Professional		$912.01	$1,348.96	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,148.15	Professional		$758.58	$954.99	$1,148.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,905.46	Professional		$794.33	$1,071.52	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $7,585.78	Facility		$54.95	$56.23	$7,585.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,943.28 / $7,943.28	Professional		$6,918.31	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Professional		$1,348.96	$1,348.96	$1,348.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,905.46	Facility		$954.99	$1,258.93	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,905.46 / $2,454.71	Professional		$851.14	$1,905.46	$2,454.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,621.81	Professional		$776.25	$1,071.52	$1,621.81
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 $794.33 / $1,148.15 / $2,630.27	Professional		$794.33	$1,148.15	$2,630.27