Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,456.62 / $1,456.62 / $8,925.33	Facility		$1,456.62	$1,456.62	$8,925.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,243.53 / $1,456.62 / $8,925.33	Professional		$1,243.53	$1,456.62	$8,925.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,106.11 / $4,359.26 / $9,819.46	Facility		$1,106.11	$4,359.26	$9,819.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.36 / $1,481.65 / $2,543.75	Professional		$1,370.36	$1,481.65	$2,543.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,662.37 / $6,539.94	Facility		$97.00	$3,662.37	$6,539.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,104.47 / $9,560.68	Professional		$100.00	$4,104.47	$9,560.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,446.87 / $1,769.38 / $1,769.38	Facility		$1,446.87	$1,769.38	$1,769.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,291.65 / $1,822.46	Professional		$1,291.65	$1,291.65	$1,822.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,167.52 / $1,401.02 / $3,402.77	Professional		$1,167.52	$1,401.02	$3,402.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,856.06 / $2,165.40 / $4,702.01	Professional		$1,856.06	$2,165.40	$4,702.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,552.50 / $14,693.79 / $14,693.79	Facility		$5,552.50	$14,693.79	$14,693.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,361.01 / $15,361.01 / $20,591.84	Professional		$15,361.01	$15,361.01	$20,591.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,219.45 / $6,219.45 / $6,219.45	Professional		$6,219.45	$6,219.45	$6,219.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $781.11 / $2,670.36 / $3,093.43	Facility		$781.11	$2,670.36	$3,093.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,291.65 / $1,769.38 / $2,629.42	Professional		$1,291.65	$1,769.38	$2,629.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,838.75 / $5,838.75 / $5,838.75	Professional		$5,838.75	$5,838.75	$5,838.75
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,167.52 / $1,984.78 / $2,474.73	Professional		$1,167.52	$1,984.78	$2,474.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,138.91 / $1,421.05 / $2,993.20	Professional		$1,138.91	$1,421.05	$2,993.20