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 / $24,547.09	Facility		$4,466.84	$10,471.29	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $6,309.57	Professional		$1,380.38	$1,778.28	$6,309.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,748.98 / $18,620.87	Facility		$6,456.54	$11,748.98	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $4,786.30	Professional		$1,778.28	$2,511.89	$4,786.30
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 $1,412.54 / $1,995.26 / $4,073.80	Professional		$1,412.54	$1,995.26	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,890.45	Professional		$1,479.11	$1,905.46	$3,890.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,137.96	Professional		$1,122.02	$1,698.24	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $3,548.13	Professional		$1,412.54	$1,862.09	$3,548.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $19,952.62	Facility		$5,011.87	$5,011.87	$19,952.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $14,454.40 / $14,454.40	Professional		$11,220.18	$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 $1,548.82 / $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 $1,445.44 / $1,949.84 / $4,073.80	Professional		$1,445.44	$1,949.84	$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 $1,380.38 / $1,698.24 / $2,454.71	Professional		$1,380.38	$1,698.24	$2,454.71
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 $1,230.27 / $1,621.81 / $3,311.31	Professional		$1,230.27	$1,621.81	$3,311.31