Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $7,244.36	Professional		$1,584.89	$1,905.46	$7,244.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $5,623.41	Professional		$1,819.70	$2,570.40	$5,623.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $100.00 / $17,782.79	Facility		$63.10	$100.00	$17,782.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $5,248.07	Professional		$1,862.09	$2,691.53	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,786.30	Professional		$1,659.59	$2,187.76	$4,786.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $2,290.87	Professional		$1,513.56	$1,698.24	$2,290.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,467.37	Professional		$1,445.44	$1,905.46	$3,467.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $23,988.33	Facility		$54.95	$56.23	$23,988.33
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,454.40 / $14,454.40	Professional		$14,125.38	$14,454.40	$14,454.40
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 $1,737.80 / $2,290.87 / $3,801.89	Facility		$1,737.80	$2,290.87	$3,801.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $4,677.35	Professional		$1,621.81	$2,187.76	$4,677.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,235.94	Professional		$1,513.56	$2,137.96	$3,235.94
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 $1,445.44 / $1,995.26 / $4,897.79	Professional		$1,445.44	$1,995.26	$4,897.79