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 $1,445.44 / $1,819.70 / $6,606.93	Professional		$1,445.44	$1,819.70	$6,606.93
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 $1,819.70 / $2,511.89 / $4,897.79	Professional		$1,819.70	$2,511.89	$4,897.79
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 $1,479.11 / $2,137.96 / $4,265.80	Professional		$1,479.11	$2,137.96	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,981.07	Professional		$1,479.11	$1,949.84	$3,981.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,290.87	Professional		$1,023.29	$1,548.82	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,801.89	Professional		$1,479.11	$1,995.26	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $16,982.44	Facility		$54.95	$56.23	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $15,135.61 / $15,135.61	Professional		$11,748.98	$15,135.61	$15,135.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,162.28	Facility		$1,621.81	$2,089.30	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $4,265.80	Professional		$1,445.44	$1,995.26	$4,265.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,187.76	Professional		$1,288.25	$1,659.59	$2,187.76
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 $1,288.25 / $1,659.59 / $3,467.37	Professional		$1,288.25	$1,659.59	$3,467.37