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 $1,288.25 / $1,737.80 / $6,025.60	Professional		$1,288.25	$1,737.80	$6,025.60
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 $1,905.46 / $2,511.89 / $5,128.61	Professional		$1,905.46	$2,511.89	$5,128.61
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 $1,412.54 / $2,041.74 / $4,073.80	Professional		$1,412.54	$2,041.74	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,890.45	Professional		$1,412.54	$1,862.09	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $1,949.84	Professional		$1,071.52	$1,621.81	$1,949.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $3,388.44	Professional		$1,380.38	$1,862.09	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $20,892.96	Facility		$54.95	$56.23	$20,892.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $13,803.84 / $13,803.84	Professional		$12,022.64	$13,803.84	$13,803.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,995.26 / $3,090.30	Facility		$1,548.82	$1,995.26	$3,090.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,890.45	Professional		$1,348.96	$1,862.09	$3,890.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,621.81 / $2,290.87	Professional		$1,318.26	$1,621.81	$2,290.87
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 $1,258.93 / $1,737.80 / $4,265.80	Professional		$1,258.93	$1,737.80	$4,265.80