Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.98 / $1,938.98 / $12,419.60	Facility		$1,938.98	$1,938.98	$12,419.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,498.25 / $1,938.98 / $12,419.60	Professional		$1,498.25	$1,938.98	$12,419.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,472.42 / $6,065.93 / $13,663.84	Facility		$1,472.42	$6,065.93	$13,663.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,805.58 / $1,966.25 / $3,442.13	Professional		$1,805.58	$1,966.25	$3,442.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,096.17 / $9,100.29	Facility		$97.00	$5,096.17	$9,100.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,711.37 / $13,303.66	Professional		$100.00	$5,711.37	$13,303.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,011.94 / $2,017.28 / $2,300.92	Facility		$2,011.94	$2,017.28	$2,300.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $1,472.61 / $2,077.80	Professional		$1,472.61	$1,472.61	$2,077.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,049.88 / $2,459.86 / $4,734.97	Professional		$2,049.88	$2,459.86	$4,734.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,582.71 / $3,013.16 / $6,542.87	Professional		$2,582.71	$3,013.16	$6,542.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,513.46 / $17,217.72 / $20,446.47	Facility		$7,513.46	$17,217.72	$20,446.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,718.94 / $26,336.21 / $26,336.21	Professional		$25,718.94	$26,336.21	$26,336.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,618.19 / $6,618.19 / $6,618.19	Professional		$6,618.19	$6,618.19	$6,618.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,039.78 / $3,451.39 / $4,367.07	Facility		$1,039.78	$3,451.39	$4,367.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,472.61 / $2,017.28 / $3,392.27	Professional		$1,472.61	$2,017.28	$3,392.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,124.62 / $8,124.62 / $8,124.62	Professional		$8,124.62	$8,124.62	$8,124.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,049.88 / $3,443.62 / $3,443.62	Professional		$2,049.88	$3,443.62	$3,443.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,489.14 / $1,610.60 / $4,089.16	Professional		$1,489.14	$1,610.60	$4,089.16