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 $1,096.48 / $1,548.82 / $5,888.44	Professional		$1,096.48	$1,548.82	$5,888.44
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 $1,659.59 / $2,290.87 / $4,466.84	Professional		$1,659.59	$2,290.87	$4,466.84
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 $1,174.90 / $1,737.80 / $3,801.89	Professional		$1,174.90	$1,737.80	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,548.13	Professional		$1,122.02	$1,659.59	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $1,905.46	Professional		$1,122.02	$1,584.89	$1,905.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,311.31	Professional		$1,348.96	$1,819.70	$3,311.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,417.38	Facility		$54.95	$56.23	$20,417.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $13,489.63 / $13,489.63	Professional		$10,715.19	$13,489.63	$13,489.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,818.38	Facility		$1,412.54	$1,819.70	$2,818.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,801.89	Professional		$1,122.02	$1,659.59	$3,801.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,398.83	Professional		$1,288.25	$1,659.59	$2,398.83
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 $1,096.48 / $1,548.82 / $3,981.07	Professional		$1,096.48	$1,548.82	$3,981.07