Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,988.34 / $1,988.34 / $12,735.70	Facility		$1,988.34	$1,988.34	$12,735.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,484.69 / $1,988.34 / $12,735.70	Professional		$1,484.69	$1,988.34	$12,735.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,509.89 / $6,220.34 / $14,011.65	Facility		$1,509.89	$6,220.34	$14,011.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,922.93 / $1,988.34 / $3,569.48	Professional		$1,922.93	$1,988.34	$3,569.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,225.88 / $9,331.93	Facility		$97.00	$5,225.88	$9,331.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,856.75 / $13,642.35	Professional		$100.00	$5,856.75	$13,642.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,064.56 / $2,482.86 / $2,482.86	Facility		$2,064.56	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $1,812.49 / $2,646.85	Professional		$1,812.49	$1,812.49	$2,646.85
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,904.69 / $2,285.63 / $4,855.50	Professional		$1,904.69	$2,285.63	$4,855.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,648.45 / $3,089.86 / $6,709.42	Professional		$2,648.45	$3,089.86	$6,709.42
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,128.97 / $17,674.86 / $20,966.93	Facility		$7,128.97	$17,674.86	$20,966.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,536.86 / $23,077.76 / $26,583.68	Professional		$22,536.86	$23,077.76	$26,583.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,651.12 / $8,651.12 / $8,651.12	Professional		$8,651.12	$8,651.12	$8,651.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,066.25 / $3,865.13 / $4,414.09	Facility		$1,066.25	$3,865.13	$4,414.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,482.86 / $4,201.39	Professional		$1,812.49	$2,482.86	$4,201.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,331.44 / $8,331.44 / $8,331.44	Professional		$8,331.44	$8,331.44	$8,331.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,904.69 / $3,237.97 / $3,531.27	Professional		$1,904.69	$3,237.97	$3,531.27
United Facility/Professional Facility Modifier Low / Median / High Price $272.81 / $2,182.50 / $2,545.08	Facility		$272.81	$2,182.50	$2,545.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,554.65 / $1,730.63 / $4,193.62	Professional		$1,554.65	$1,730.63	$4,193.62