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 $1,621.81 / $2,137.96 / $7,413.10	Professional		$1,621.81	$2,137.96	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,417.38	Facility		$6,918.31	$11,748.98	$20,417.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $5,495.41	Professional		$2,089.30	$2,884.03	$5,495.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,317.64	Facility		$61.66	$100.00	$8,317.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,786.30	Professional		$1,659.59	$2,454.71	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,786.30	Professional		$1,698.24	$2,238.72	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $2,238.72	Professional		$1,479.11	$1,737.80	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,715.35	Professional		$1,479.11	$1,949.84	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $15,848.93	Facility		$54.95	$56.23	$15,848.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $14,454.40 / $14,454.40	Professional		$12,882.50	$14,454.40	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,630.78	Facility		$1,778.28	$2,344.23	$3,630.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,570.88	Professional		$1,659.59	$2,187.76	$4,570.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,162.28	Professional		$1,479.11	$2,089.30	$3,162.28
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 $1,445.44 / $2,041.74 / $4,897.79	Professional		$1,445.44	$2,041.74	$4,897.79