Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $11,748.98	Facility		$1,202.26	$1,202.26	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $10,232.93	Professional		$977.24	$1,230.27	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,174.90 / $5,370.32	Facility		$912.01	$1,174.90	$5,370.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $3,019.95	Professional		$1,230.27	$1,230.27	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,677.35 / $6,309.57	Facility		$100.00	$4,677.35	$6,309.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $5,011.87 / $8,709.64	Professional		$2,630.27	$5,011.87	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $1,548.82	Facility		$1,258.93	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $3,311.31	Professional		$1,258.93	$1,584.89	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,365.16	Professional		$1,659.59	$2,454.71	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
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 $691.83 / $2,344.23 / $3,311.31	Facility		$691.83	$2,344.23	$3,311.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,187.76	Professional		$1,122.02	$1,122.02	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,454.71	Professional		$1,258.93	$1,905.46	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,000.00 / $2,754.23	Facility		$165.96	$1,000.00	$2,754.23
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,691.53	Professional		$933.25	$1,174.90	$2,691.53