Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,749.25 / $1,749.25 / $10,253.79	Facility		$1,749.25	$1,749.25	$10,253.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,383.32 / $1,749.25 / $10,253.79	Professional		$1,383.32	$1,749.25	$10,253.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,328.34 / $5,129.68 / $11,281.11	Facility		$1,328.34	$5,129.68	$11,281.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,745.63 / $1,760.19 / $3,240.36	Professional		$1,745.63	$1,760.19	$3,240.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,207.47 / $7,513.36	Facility		$97.00	$4,207.47	$7,513.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,715.41 / $10,983.75	Professional		$100.00	$4,715.41	$10,983.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,662.23 / $1,819.89 / $1,899.69	Facility		$1,662.23	$1,819.89	$1,899.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,328.52 / $1,940.10	Professional		$1,328.52	$1,328.52	$1,940.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,587.11 / $1,904.53 / $3,909.28	Professional		$1,587.11	$1,904.53	$3,909.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,132.33 / $2,487.71 / $5,401.91	Professional		$2,132.33	$2,487.71	$5,401.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,073.05 / $16,880.98 / $16,880.98	Facility		$7,073.05	$16,880.98	$16,880.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,222.38 / $19,222.38 / $29,124.83	Professional		$19,222.38	$19,222.38	$29,124.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,886.19 / $6,886.19 / $6,886.19	Professional		$6,886.19	$6,886.19	$6,886.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.03 / $3,141.95 / $3,601.94	Facility		$938.03	$3,141.95	$3,601.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,328.52 / $1,819.89 / $3,543.18	Professional		$1,328.52	$1,819.89	$3,543.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,707.82 / $6,707.82 / $6,707.82	Professional		$6,707.82	$6,707.82	$6,707.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,587.11 / $2,698.09 / $2,843.11	Professional		$1,587.11	$2,698.09	$2,843.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,776.27 / $1,776.27 / $1,776.27	Facility		$1,776.27	$1,776.27	$1,776.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,382.68 / $1,751.00 / $3,585.58	Professional		$1,382.68	$1,751.00	$3,585.58