Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,766.63 / $1,766.63 / $11,315.60	Facility		$1,766.63	$1,766.63	$11,315.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,304.09 / $1,766.63 / $11,315.60	Professional		$1,304.09	$1,766.63	$11,315.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,341.53 / $5,526.76 / $12,449.32	Facility		$1,341.53	$5,526.76	$12,449.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,473.67 / $1,788.71 / $2,735.53	Professional		$1,473.67	$1,788.71	$2,735.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,643.18 / $8,291.39	Facility		$97.00	$4,643.18	$8,291.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,203.70 / $12,121.19	Professional		$100.00	$5,203.70	$12,121.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,834.36 / $1,902.78 / $2,096.41	Facility		$1,834.36	$1,902.78	$2,096.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,389.03 / $1,959.86	Professional		$1,389.03	$1,389.03	$1,959.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $862.40 / $1,034.88 / $4,314.10	Professional		$862.40	$1,034.88	$4,314.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,353.15 / $2,745.34 / $5,961.30	Professional		$2,353.15	$2,745.34	$5,961.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,971.10 / $18,629.07 / $18,629.07	Facility		$5,971.10	$18,629.07	$18,629.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,825.16 / $18,825.16 / $22,060.73	Professional		$18,825.16	$18,825.16	$22,060.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,106.17 / $6,106.17 / $6,106.17	Professional		$6,106.17	$6,106.17	$6,106.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $947.36 / $3,144.61 / $3,921.91	Facility		$947.36	$3,144.61	$3,921.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,389.03 / $1,902.78 / $2,906.03	Professional		$1,389.03	$1,902.78	$2,906.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,402.44 / $7,402.44 / $7,402.44	Professional		$7,402.44	$7,402.44	$7,402.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $862.40 / $1,466.08 / $3,137.53	Professional		$862.40	$1,466.08	$3,137.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,381.30 / $1,684.19 / $3,921.91	Professional		$1,381.30	$1,684.19	$3,921.91