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 $1,412.54 / $1,862.09 / $6,606.93	Professional		$1,412.54	$1,862.09	$6,606.93
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 $1,584.89 / $2,691.53 / $5,495.41	Professional		$1,584.89	$2,691.53	$5,495.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,365.16	Professional		$1,513.56	$2,137.96	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $4,168.69	Professional		$1,513.56	$1,995.26	$4,168.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,089.30	Professional		$1,202.26	$1,737.80	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,630.78	Professional		$1,479.11	$1,995.26	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,387.21	Facility		$54.95	$56.23	$22,387.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $14,791.08 / $14,791.08	Professional		$13,803.84	$14,791.08	$14,791.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,467.37	Facility		$1,659.59	$2,137.96	$3,467.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $4,168.69	Professional		$1,445.44	$1,995.26	$4,168.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,778.28 / $2,570.40	Professional		$1,412.54	$1,778.28	$2,570.40
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 $1,348.96 / $1,862.09 / $4,570.88	Professional		$1,348.96	$1,862.09	$4,570.88