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 $1,230.27 / $1,584.89 / $6,025.60	Professional		$1,230.27	$1,584.89	$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 $1,778.28 / $2,238.72 / $4,168.69	Professional		$1,778.28	$2,238.72	$4,168.69
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 $1,258.93 / $1,778.28 / $3,630.78	Professional		$1,258.93	$1,778.28	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $3,548.13	Professional		$1,318.26	$1,698.24	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $1,862.09	Professional		$1,047.13	$1,513.56	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,162.28	Professional		$1,258.93	$1,659.59	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $17,782.79	Facility		$5,011.87	$5,011.87	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $12,882.50 / $12,882.50	Professional		$10,232.93	$12,882.50	$12,882.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,884.03	Facility		$1,380.38	$1,778.28	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $3,630.78	Professional		$1,288.25	$1,737.80	$3,630.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,238.72	Professional		$1,202.26	$1,548.82	$2,238.72
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 $1,096.48 / $1,445.44 / $2,884.03	Professional		$1,096.48	$1,445.44	$2,884.03