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 $1,258.93 / $1,737.80 / $5,370.32	Professional		$1,258.93	$1,737.80	$5,370.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $4,570.88	Professional		$1,584.89	$2,187.76	$4,570.88
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 $1,258.93 / $1,862.09 / $3,630.78	Professional		$1,258.93	$1,862.09	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $3,630.78	Professional		$1,288.25	$1,659.59	$3,630.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,584.89	Professional		$977.24	$1,318.26	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,818.38	Professional		$1,122.02	$1,479.11	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $10,715.19	Facility		$54.95	$56.23	$10,715.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $10,964.78 / $10,964.78	Professional		$9,772.37	$10,964.78	$10,964.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,818.38	Facility		$1,348.96	$1,819.70	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,467.37	Professional		$1,258.93	$1,659.59	$3,467.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,089.30	Professional		$1,071.52	$1,445.44	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,309.57 / $20,892.96	Facility		$1,995.26	$6,309.57	$20,892.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $3,715.35	Professional		$1,096.48	$1,548.82	$3,715.35