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 $1,698.24 / $2,238.72 / $7,943.28	Professional		$1,698.24	$2,238.72	$7,943.28
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 / $3,311.31 / $6,760.83	Professional		$2,344.23	$3,311.31	$6,760.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $9,332.54	Facility		$61.66	$100.00	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $5,370.32	Professional		$1,862.09	$2,691.53	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $5,011.87	Professional		$1,819.70	$2,398.83	$5,011.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $2,454.71	Professional		$1,412.54	$2,041.74	$2,454.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $4,365.16	Professional		$1,778.28	$2,344.23	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $26,915.35	Facility		$54.95	$56.23	$26,915.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $17,782.79 / $17,782.79	Professional		$15,848.93	$17,782.79	$17,782.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,265.80	Facility		$1,995.26	$2,570.40	$4,265.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $5,011.87	Professional		$1,778.28	$2,398.83	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,019.95	Professional		$1,659.59	$2,137.96	$3,019.95
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 $1,621.81 / $2,238.72 / $5,495.41	Professional		$1,621.81	$2,238.72	$5,495.41