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 $1,148.15 / $1,548.82 / $6,025.60	Professional		$1,148.15	$1,548.82	$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 / $2,089.30 / $4,073.80	Professional		$1,479.11	$2,089.30	$4,073.80
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 $1,318.26 / $1,819.70 / $3,630.78	Professional		$1,318.26	$1,819.70	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $3,388.44	Professional		$1,230.27	$1,621.81	$3,388.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $1,862.09	Professional		$1,023.29	$1,479.11	$1,862.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $3,162.28	Professional		$1,230.27	$1,659.59	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $17,378.01	Facility		$5,011.87	$5,011.87	$17,378.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,589.25 / $12,589.25	Professional		$9,549.93	$12,589.25	$12,589.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $2,691.53	Facility		$1,348.96	$1,737.80	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $3,548.13	Professional		$1,230.27	$1,659.59	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,187.76	Professional		$1,202.26	$1,548.82	$2,187.76
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 $1,047.13 / $1,348.96 / $2,884.03	Professional		$1,047.13	$1,348.96	$2,884.03