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 $1,348.96 / $1,778.28 / $6,309.57	Professional		$1,348.96	$1,778.28	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,748.98 / $20,892.96	Facility		$6,456.54	$11,748.98	$20,892.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $5,128.61	Professional		$1,737.80	$2,570.40	$5,128.61
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 $1,380.38 / $2,041.74 / $4,265.80	Professional		$1,380.38	$2,041.74	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,981.07	Professional		$1,412.54	$1,905.46	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $2,137.96	Professional		$1,412.54	$1,698.24	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,548.13	Professional		$1,445.44	$1,905.46	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $21,877.62	Facility		$54.95	$56.23	$21,877.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $14,454.40 / $14,454.40	Professional		$12,589.25	$14,454.40	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $3,311.31	Facility		$1,584.89	$2,041.74	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,073.80	Professional		$1,348.96	$1,905.46	$4,073.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,019.95	Professional		$1,412.54	$1,995.26	$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 $1,288.25 / $1,737.80 / $4,365.16	Professional		$1,288.25	$1,737.80	$4,365.16