Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,492.48 / $1,492.48 / $8,485.99	Facility		$1,492.48	$1,492.48	$8,485.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.93 / $1,492.48 / $8,485.99	Professional		$1,260.93	$1,492.48	$8,485.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,133.35 / $4,245.28 / $9,336.16	Facility		$1,133.35	$4,245.28	$9,336.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,511.14 / $1,518.14 / $2,823.67	Professional		$1,511.14	$1,518.14	$2,823.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,482.09 / $6,218.03	Facility		$97.00	$3,482.09	$6,218.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,902.43 / $9,090.08	Professional		$100.00	$3,902.43	$9,090.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,375.66 / $1,552.76 / $1,572.18	Facility		$1,375.66	$1,552.76	$1,572.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $3,519.75	Professional		$1,133.51	$1,133.51	$3,519.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,572.18 / $1,886.62 / $3,235.29	Professional		$1,572.18	$1,886.62	$3,235.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,764.70 / $2,058.82 / $4,470.58	Professional		$1,764.70	$2,058.82	$4,470.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,163.49 / $13,970.56 / $13,970.56	Facility		$6,163.49	$13,970.56	$13,970.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,025.89 / $16,025.89 / $18,637.20	Professional		$16,025.89	$16,025.89	$18,637.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,904.06 / $5,904.06 / $5,904.06	Professional		$5,904.06	$5,904.06	$5,904.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $800.34 / $2,554.80 / $2,983.93	Facility		$800.34	$2,554.80	$2,983.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,133.51 / $1,133.51 / $3,034.41	Professional		$1,133.51	$1,133.51	$3,034.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,551.35 / $5,551.35 / $5,551.35	Professional		$5,551.35	$5,551.35	$5,551.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,572.18 / $2,352.94 / $2,358.27	Professional		$1,572.18	$2,352.94	$2,358.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,166.95 / $1,369.03 / $2,941.17	Professional		$1,166.95	$1,369.03	$2,941.17