Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $7,585.78	Professional		$1,659.59	$2,137.96	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,803.84 / $22,387.21	Facility		$7,943.28	$13,803.84	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $6,456.54	Professional		$2,344.23	$3,162.28	$6,456.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $8,128.31	Facility		$60.26	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,570.40 / $5,128.61	Professional		$1,778.28	$2,570.40	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $4,897.79	Professional		$1,778.28	$2,290.87	$4,897.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $2,344.23	Professional		$1,174.90	$1,778.28	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $4,168.69	Professional		$1,698.24	$2,238.72	$4,168.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $25,703.96	Facility		$54.95	$56.23	$25,703.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $17,378.01 / $17,378.01	Professional		$13,489.63	$17,378.01	$17,378.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $3,715.35	Facility		$1,905.46	$2,454.71	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,897.79	Professional		$1,698.24	$2,290.87	$4,897.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,511.89	Professional		$1,479.11	$1,819.70	$2,511.89
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 $1,584.89 / $2,187.76 / $5,248.07	Professional		$1,584.89	$2,187.76	$5,248.07