Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,413.15 / $1,413.15 / $9,051.53	Facility		$1,413.15	$1,413.15	$9,051.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,155.81 / $1,413.15 / $9,051.53	Professional		$1,155.81	$1,413.15	$9,051.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,073.11 / $4,420.91 / $9,958.35	Facility		$1,073.11	$4,420.91	$9,958.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,286.26 / $1,480.00 / $2,452.12	Professional		$1,286.26	$1,480.00	$2,452.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,714.14 / $6,632.40	Facility		$97.00	$3,714.14	$6,632.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,162.51 / $9,695.89	Professional		$100.00	$4,162.51	$9,695.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,467.33 / $1,549.06 / $1,676.94	Facility		$1,467.33	$1,549.06	$1,676.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,130.81 / $1,595.53	Professional		$1,130.81	$1,130.81	$1,595.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,036.20 / $1,243.44 / $3,450.90	Professional		$1,036.20	$1,243.44	$3,450.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,882.31 / $2,196.03 / $4,768.51	Professional		$1,882.31	$2,196.03	$4,768.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,457.89 / $14,901.61 / $14,901.61	Facility		$4,457.89	$14,901.61	$14,901.61
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,058.46 / $15,058.46 / $17,732.48	Professional		$15,058.46	$15,058.46	$17,732.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,105.52 / $5,105.52 / $5,105.52	Professional		$5,105.52	$5,105.52	$5,105.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $757.80 / $2,515.42 / $3,137.18	Facility		$757.80	$2,515.42	$3,137.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,130.81 / $1,549.06 / $2,559.19	Professional		$1,130.81	$1,549.06	$2,559.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,921.31 / $5,921.31 / $5,921.31	Professional		$5,921.31	$5,921.31	$5,921.31
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,036.20 / $1,761.54 / $2,509.73	Professional		$1,036.20	$1,761.54	$2,509.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,085.30 / $1,173.83 / $2,828.41	Professional		$1,085.30	$1,173.83	$2,828.41