Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $10,232.93	Facility		$1,318.26	$1,318.26	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $9,120.11	Professional		$1,071.52	$1,318.26	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $5,495.41	Facility		$1,000.00	$1,288.25	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,019.95	Professional		$1,318.26	$1,318.26	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,073.80 / $5,495.41	Facility		$100.00	$4,073.80	$5,495.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $4,466.84 / $7,585.78	Professional		$2,290.87	$4,466.84	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,621.81	Professional		$1,174.90	$1,174.90	$1,621.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $2,884.03	Professional		$1,258.93	$1,584.89	$2,884.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $3,801.89	Professional		$1,380.38	$2,187.76	$3,801.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $18,197.01 / $18,197.01	Professional		$12,589.25	$18,197.01	$18,197.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,398.83 / $3,019.95	Facility		$707.95	$2,398.83	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,344.23	Professional		$1,174.90	$1,174.90	$2,344.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $2,187.76	Professional		$1,258.93	$1,905.46	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,096.48 / $3,019.95	Facility		$181.97	$1,096.48	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,398.83	Professional		$1,023.29	$1,202.26	$2,398.83