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 $794.33 / $1,047.13 / $4,897.79	Professional		$794.33	$1,047.13	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,220.18 / $17,782.79	Facility		$6,456.54	$11,220.18	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $3,090.30	Professional		$1,148.15	$1,548.82	$3,090.30
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 $812.83 / $1,174.90 / $2,511.89	Professional		$812.83	$1,174.90	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,238.72	Professional		$741.31	$1,096.48	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,047.13 / $1,412.54	Professional		$977.24	$1,047.13	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,137.96	Professional		$870.96	$1,174.90	$2,137.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $11,748.98	Facility		$54.95	$56.23	$11,748.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,511.38 / $8,511.38	Professional		$8,317.64	$8,511.38	$8,511.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,202.26 / $2,041.74	Facility		$912.01	$1,202.26	$2,041.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,071.52 / $2,398.83	Professional		$707.95	$1,071.52	$2,398.83
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $2,089.30	Professional		$933.25	$1,348.96	$2,089.30
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 $741.31 / $1,047.13 / $2,570.40	Professional		$741.31	$1,047.13	$2,570.40