Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,461.58 / $1,461.58 / $8,812.58	Facility		$1,461.58	$1,461.58	$8,812.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,207.90 / $1,461.58 / $8,812.58	Professional		$1,207.90	$1,461.58	$8,812.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,109.89 / $4,332.79 / $9,695.49	Facility		$1,109.89	$4,332.79	$9,695.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,235.84 / $1,482.13 / $2,356.02	Professional		$1,235.84	$1,482.13	$2,356.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,616.10 / $6,457.33	Facility		$97.00	$3,616.10	$6,457.33
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,052.62 / $9,439.93	Professional		$100.00	$4,052.62	$9,439.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,428.60 / $1,638.80 / $1,638.80	Facility		$1,428.60	$1,638.80	$1,638.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $2,937.00	Professional		$1,196.32	$1,196.32	$2,937.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.32 / $1,331.18 / $3,359.81	Professional		$1,109.32	$1,331.18	$3,359.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,832.62 / $2,138.06 / $4,642.64	Professional		$1,832.62	$2,138.06	$4,642.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,142.70 / $14,508.26 / $14,508.26	Facility		$5,142.70	$14,508.26	$14,508.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,057.95 / $15,057.95 / $18,251.48	Professional		$15,057.95	$15,057.95	$18,251.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,335.61 / $5,335.61 / $5,335.61	Professional		$5,335.61	$5,335.61	$5,335.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $783.77 / $2,602.73 / $3,054.37	Facility		$783.77	$2,602.73	$3,054.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,196.32 / $1,196.32 / $2,907.19	Professional		$1,196.32	$1,196.32	$2,907.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,765.00 / $5,765.00 / $5,765.00	Professional		$5,765.00	$5,765.00	$5,765.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,109.32 / $1,885.84 / $2,443.50	Professional		$1,109.32	$1,885.84	$2,443.50
United Facility/Professional Facility Modifier Low / Median / High Price $763.17 / $1,097.29 / $1,203.23	Facility		$763.17	$1,097.29	$1,203.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.50 / $1,216.04 / $3,081.61	Professional		$1,122.50	$1,216.04	$3,081.61