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 $1,445.44 / $1,905.46 / $6,760.83	Professional		$1,445.44	$1,905.46	$6,760.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,748.98 / $20,892.96	Facility		$6,918.31	$11,748.98	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $5,623.41	Professional		$1,949.84	$2,818.38	$5,623.41
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 $1,479.11 / $2,137.96 / $4,570.88	Professional		$1,479.11	$2,137.96	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,168.69	Professional		$1,548.82	$2,041.74	$4,168.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $2,137.96	Professional		$1,023.29	$1,513.56	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,715.35	Professional		$1,548.82	$2,041.74	$3,715.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $22,908.68	Facility		$54.95	$56.23	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $15,488.17 / $15,488.17	Professional		$14,454.40	$15,488.17	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,311.31	Facility		$1,659.59	$2,137.96	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $4,365.16	Professional		$1,412.54	$2,041.74	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,621.81 / $2,187.76	Professional		$1,288.25	$1,621.81	$2,187.76
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 / $1,905.46 / $4,677.35	Professional		$1,348.96	$1,905.46	$4,677.35