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 $1,122.02 / $1,412.54 / $6,025.60	Professional		$1,122.02	$1,412.54	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $19,952.62	Facility		$6,918.31	$11,748.98	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $3,981.07	Professional		$1,479.11	$2,089.30	$3,981.07
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 $1,148.15 / $1,698.24 / $3,548.13	Professional		$1,148.15	$1,698.24	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,311.31	Professional		$1,148.15	$1,548.82	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,819.70	Professional		$1,380.38	$1,513.56	$1,819.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,754.23	Professional		$1,148.15	$1,513.56	$2,754.23
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,964.78 / $10,964.78	Professional		$10,715.19	$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 $1,258.93 / $1,659.59 / $2,570.40	Facility		$1,258.93	$1,659.59	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,388.44	Professional		$1,122.02	$1,548.82	$3,388.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,570.40	Professional		$1,096.48	$1,513.56	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $17,782.79 / $38,904.51	Facility		$9,332.54	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $3,630.78	Professional		$1,000.00	$1,412.54	$3,630.78