Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.37 / $1,654.37 / $9,220.69	Facility		$1,654.37	$1,654.37	$9,220.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,289.24 / $1,654.37 / $9,220.69	Professional		$1,289.24	$1,654.37	$9,220.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.29 / $4,612.83 / $10,144.45	Facility		$1,256.29	$4,612.83	$10,144.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,613.68 / $1,722.19 / $3,076.29	Professional		$1,613.68	$1,722.19	$3,076.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,783.56 / $6,756.37	Facility		$97.00	$3,783.56	$6,756.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,240.30 / $9,877.07	Professional		$100.00	$4,240.30	$9,877.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.75 / $2,084.13 / $2,084.13	Facility		$1,494.75	$2,084.13	$2,084.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $1,521.41 / $2,221.79	Professional		$1,521.41	$1,521.41	$2,221.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $955.80 / $1,146.96 / $3,515.39	Professional		$955.80	$1,146.96	$3,515.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,917.49 / $2,237.07 / $4,857.63	Professional		$1,917.49	$2,237.07	$4,857.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,714.92 / $15,180.10 / $15,180.10	Facility		$6,714.92	$15,180.10	$15,180.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,186.59 / $17,186.59 / $22,020.60	Professional		$17,186.59	$17,186.59	$22,020.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,117.68 / $7,117.68 / $7,117.68	Professional		$7,117.68	$7,117.68	$7,117.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $887.16 / $2,775.97 / $3,355.60	Facility		$887.16	$2,775.97	$3,355.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,521.41 / $2,084.13 / $3,079.50	Professional		$1,521.41	$2,084.13	$3,079.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,031.98 / $6,031.98 / $6,031.98	Professional		$6,031.98	$6,031.98	$6,031.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $955.80 / $1,624.86 / $2,556.65	Professional		$955.80	$1,624.86	$2,556.65
United Facility/Professional Facility Modifier Low / Median / High Price $226.99 / $1,815.91 / $2,117.59	Facility		$226.99	$1,815.91	$2,117.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,293.52 / $1,580.14 / $3,331.57	Professional		$1,293.52	$1,580.14	$3,331.57