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 $1,479.11 / $1,862.09 / $6,760.83	Professional		$1,479.11	$1,862.09	$6,760.83
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 $1,862.09 / $2,691.53 / $5,011.87	Professional		$1,862.09	$2,691.53	$5,011.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $8,128.31	Facility		$61.66	$100.00	$8,128.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,265.80	Professional		$1,479.11	$2,089.30	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $4,073.80	Professional		$1,548.82	$2,041.74	$4,073.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,238.72	Professional		$1,202.26	$1,819.70	$2,238.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,801.89	Professional		$1,513.56	$1,995.26	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $21,379.62	Facility		$5,011.87	$5,011.87	$21,379.62
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $15,488.17 / $15,488.17	Professional		$12,022.64	$15,488.17	$15,488.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $3,311.31	Facility		$1,659.59	$2,137.96	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,365.16	Professional		$1,479.11	$2,089.30	$4,365.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Professional		$5,370.32	$5,370.32	$5,370.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,570.40	Professional		$1,445.44	$1,778.28	$2,570.40
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 $1,318.26 / $1,737.80 / $3,548.13	Professional		$1,318.26	$1,737.80	$3,548.13