Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $13,182.57	Facility		$1,380.38	$1,380.38	$13,182.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $11,748.98	Professional		$1,047.13	$1,380.38	$11,748.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $6,025.60	Facility		$1,047.13	$1,318.26	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $3,388.44	Professional		$1,348.96	$1,348.96	$3,388.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $5,370.32 / $7,079.46	Facility		$100.00	$5,370.32	$7,079.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $5,754.40 / $9,772.37	Professional		$2,951.21	$5,754.40	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,513.56	Facility		$1,412.54	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,715.35	Professional		$1,258.93	$1,584.89	$3,715.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,818.38 / $4,897.79	Professional		$1,862.09	$2,818.38	$4,897.79
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,982.44 / $16,982.44	Professional		$16,595.87	$16,982.44	$16,982.44
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 $776.25 / $2,511.89 / $3,715.35	Facility		$776.25	$2,511.89	$3,715.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,691.53	Professional		$1,096.48	$1,096.48	$2,691.53
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 $1,258.93 / $1,905.46 / $2,818.38	Professional		$1,258.93	$1,905.46	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,122.02 / $3,090.30	Facility		$190.55	$1,122.02	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $3,090.30	Professional		$1,047.13	$1,288.25	$3,090.30