Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,745.32 / $1,745.32 / $11,179.20	Facility		$1,745.32	$1,745.32	$11,179.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,431.90 / $1,745.32 / $11,179.20	Professional		$1,431.90	$1,745.32	$11,179.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,325.36 / $5,460.09 / $12,299.14	Facility		$1,325.36	$5,460.09	$12,299.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,571.04 / $1,718.05 / $2,995.07	Professional		$1,571.04	$1,718.05	$2,995.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $4,587.17 / $8,191.37	Facility		$98.20	$4,587.17	$8,191.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,140.93 / $11,974.96	Professional		$100.00	$5,140.93	$11,974.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,812.22 / $1,815.81 / $2,071.11	Facility		$1,812.22	$1,815.81	$2,071.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,325.54 / $1,935.74	Professional		$1,325.54	$1,325.54	$1,935.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,861.11 / $2,233.33 / $4,262.06	Professional		$1,861.11	$2,233.33	$4,262.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,324.76 / $2,712.22 / $5,889.39	Professional		$2,324.76	$2,712.22	$5,889.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,998.43 / $18,404.34 / $18,404.34	Facility		$5,998.43	$18,404.34	$18,404.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,962.96 / $19,418.09 / $22,132.73	Professional		$18,962.96	$19,418.09	$22,132.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,325.11 / $6,325.11 / $6,325.11	Professional		$6,325.11	$6,325.11	$6,325.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $935.93 / $3,106.67 / $3,874.60	Facility		$935.93	$3,106.67	$3,874.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,325.54 / $1,815.81 / $3,024.95	Professional		$1,325.54	$1,815.81	$3,024.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,313.16 / $7,313.16 / $7,313.16	Professional		$7,313.16	$7,313.16	$7,313.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,861.11 / $3,099.68 / $3,099.68	Professional		$1,861.11	$3,099.68	$3,099.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,340.41 / $1,449.74 / $3,677.20	Professional		$1,340.41	$1,449.74	$3,677.20