Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,675.42 / $1,675.42 / $9,310.11	Facility		$1,675.42	$1,675.42	$9,310.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.77 / $1,675.42 / $9,310.11	Professional		$1,323.77	$1,675.42	$9,310.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,272.27 / $4,657.58 / $10,242.86	Facility		$1,272.27	$4,657.58	$10,242.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,650.15 / $1,696.36 / $3,063.13	Professional		$1,650.15	$1,696.36	$3,063.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,820.25 / $6,821.87	Facility		$97.00	$3,820.25	$6,821.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,281.43 / $9,972.89	Professional		$100.00	$4,281.43	$9,972.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,509.24 / $1,743.07 / $1,743.07	Facility		$1,509.24	$1,743.07	$1,743.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $3,818.25	Professional		$1,272.44	$1,272.44	$3,818.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,022.37 / $1,226.83 / $3,549.49	Professional		$1,022.37	$1,226.83	$3,549.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,936.09 / $2,258.77 / $4,904.75	Professional		$1,936.09	$2,258.77	$4,904.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,686.19 / $15,327.35 / $15,327.35	Facility		$6,686.19	$15,327.35	$15,327.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,888.66 / $16,888.66 / $22,814.25	Professional		$16,888.66	$16,888.66	$22,814.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,994.29 / $6,994.29 / $6,994.29	Professional		$6,994.29	$6,994.29	$6,994.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $898.44 / $2,802.88 / $3,388.15	Facility		$898.44	$2,802.88	$3,388.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,272.44 / $1,272.44 / $3,226.81	Professional		$1,272.44	$1,272.44	$3,226.81
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,090.47 / $6,090.47 / $6,090.47	Professional		$6,090.47	$6,090.47	$6,090.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,022.37 / $1,738.03 / $2,581.44	Professional		$1,022.37	$1,738.03	$2,581.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.36 / $1,595.46 / $3,224.05	Professional		$1,308.36	$1,595.46	$3,224.05