Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,401.07 / $1,401.07 / $8,141.04	Facility		$1,401.07	$1,401.07	$8,141.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.57 / $1,401.07 / $8,141.04	Professional		$1,043.57	$1,401.07	$8,141.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.94 / $4,072.71 / $8,956.64	Facility		$1,063.94	$4,072.71	$8,956.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,411.96 / $1,425.16 / $2,620.96	Professional		$1,411.96	$1,425.16	$2,620.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,340.52 / $5,965.22	Facility		$97.00	$3,340.52	$5,965.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,743.80 / $8,720.56	Professional		$100.00	$3,743.80	$8,720.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,319.72 / $1,823.10 / $1,823.10	Facility		$1,319.72	$1,823.10	$1,823.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,330.86 / $1,877.79	Professional		$1,330.86	$1,330.86	$1,877.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.23 / $1,260.28 / $3,103.77	Professional		$1,050.23	$1,260.28	$3,103.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,692.97 / $1,975.13 / $4,288.85	Professional		$1,692.97	$1,975.13	$4,288.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,721.05 / $13,402.65 / $13,402.65	Facility		$5,721.05	$13,402.65	$13,402.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,210.51 / $15,210.51 / $20,443.65	Professional		$15,210.51	$15,210.51	$20,443.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,299.30 / $6,299.30 / $6,299.30	Professional		$6,299.30	$6,299.30	$6,299.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.32 / $2,401.92 / $2,962.69	Facility		$751.32	$2,401.92	$2,962.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,330.86 / $1,823.10 / $2,469.38	Professional		$1,330.86	$1,823.10	$2,469.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,325.69 / $5,325.69 / $5,325.69	Professional		$5,325.69	$5,325.69	$5,325.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,050.23 / $1,785.39 / $2,257.29	Professional		$1,050.23	$1,785.39	$2,257.29
United Facility/Professional Professional Modifier Low / Median / High Price $1,095.47 / $1,366.85 / $2,821.61	Professional		$1,095.47	$1,366.85	$2,821.61