Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.73 / $1,373.73 / $8,798.95	Facility		$1,373.73	$1,373.73	$8,798.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.05 / $1,373.73 / $8,798.95	Professional		$1,132.05	$1,373.73	$8,798.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,043.18 / $4,297.55 / $9,680.46	Facility		$1,043.18	$4,297.55	$9,680.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,191.88 / $1,339.39 / $2,272.16	Professional		$1,191.88	$1,339.39	$2,272.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $3,610.51 / $6,447.35	Facility		$98.20	$3,610.51	$6,447.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,046.35 / $9,425.31	Professional		$100.00	$4,046.35	$9,425.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,426.39 / $1,499.97 / $1,630.16	Facility		$1,426.39	$1,499.97	$1,630.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,094.98 / $1,599.03	Professional		$1,094.98	$1,094.98	$1,599.03
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,260.07 / $1,512.08 / $3,354.60	Professional		$1,260.07	$1,512.08	$3,354.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,829.78 / $2,134.75 / $4,635.45	Professional		$1,829.78	$2,134.75	$4,635.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,959.66 / $12,090.55 / $14,485.79	Facility		$4,959.66	$12,090.55	$14,485.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,368.35 / $16,761.20 / $17,154.23	Professional		$16,368.35	$16,761.20	$17,154.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,097.65 / $5,097.65 / $5,097.65	Professional		$5,097.65	$5,097.65	$5,097.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $736.66 / $2,486.66 / $3,093.98	Facility		$736.66	$2,486.66	$3,093.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.98 / $1,499.97 / $2,607.42	Professional		$1,094.98	$1,499.97	$2,607.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,756.08 / $5,756.08 / $5,756.08	Professional		$5,756.08	$5,756.08	$5,756.08
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,260.07 / $2,142.12 / $2,439.71	Professional		$1,260.07	$2,142.12	$2,439.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,055.02 / $1,141.07 / $3,049.64	Professional		$1,055.02	$1,141.07	$3,049.64