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 $1,023.29 / $1,318.26 / $6,025.60	Professional		$1,023.29	$1,318.26	$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 $1,479.11 / $1,862.09 / $3,467.37	Professional		$1,479.11	$1,862.09	$3,467.37
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 $1,000.00 / $1,412.54 / $2,884.03	Professional		$1,000.00	$1,412.54	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,884.03	Professional		$1,047.13	$1,412.54	$2,884.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,698.24	Professional		$1,047.13	$1,348.96	$1,698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,818.38	Professional		$1,122.02	$1,479.11	$2,818.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $15,488.17	Facility		$5,011.87	$5,011.87	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,220.18 / $11,220.18	Professional		$9,332.54	$11,220.18	$11,220.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,398.83	Facility		$1,148.15	$1,548.82	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $3,019.95	Professional		$1,047.13	$1,445.44	$3,019.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,238.72	Professional		$1,096.48	$1,513.56	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $38,904.51	Facility		$9,120.11	$17,782.79	$38,904.51
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $2,454.71	Professional		$891.25	$1,202.26	$2,454.71