Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.93 / $1,732.93 / $11,099.70	Facility		$1,732.93	$1,732.93	$11,099.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,393.40 / $1,732.93 / $11,099.70	Professional		$1,393.40	$1,732.93	$11,099.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,315.94 / $5,421.29 / $12,211.75	Facility		$1,315.94	$5,421.29	$12,211.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,748.40 / $1,754.59 / $3,291.66	Professional		$1,748.40	$1,754.59	$3,291.66
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,554.58 / $8,133.18	Facility		$97.00	$4,554.58	$8,133.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,104.41 / $11,889.90	Professional		$100.00	$5,104.41	$11,889.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,799.36 / $2,289.62 / $2,289.62	Facility		$1,799.36	$2,289.62	$2,289.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $4,103.25	Professional		$1,671.42	$1,671.42	$4,103.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,492.80 / $1,791.36 / $4,231.78	Professional		$1,492.80	$1,791.36	$4,231.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,308.23 / $2,692.95 / $5,847.55	Professional		$2,308.23	$2,692.95	$5,847.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,185.02 / $18,273.58 / $18,273.58	Facility		$7,185.02	$18,273.58	$18,273.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,465.93 / $18,465.93 / $24,014.18	Professional		$18,465.93	$18,465.93	$24,014.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,817.02 / $6,817.02 / $6,817.02	Professional		$6,817.02	$6,817.02	$6,817.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $929.28 / $3,325.38 / $3,847.07	Facility		$929.28	$3,325.38	$3,847.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,671.42 / $1,671.42 / $3,368.87	Professional		$1,671.42	$1,671.42	$3,368.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,261.20 / $7,261.20 / $7,261.20	Professional		$7,261.20	$7,261.20	$7,261.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,492.80 / $2,537.76 / $3,077.66	Professional		$1,492.80	$2,537.76	$3,077.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,379.36 / $1,734.66 / $5,147.14	Professional		$1,379.36	$1,734.66	$5,147.14