Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,507.96 / $1,507.96 / $8,336.08	Facility		$1,507.96	$1,507.96	$8,336.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,214.96 / $1,507.96 / $8,336.08	Professional		$1,214.96	$1,507.96	$8,336.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.10 / $4,170.29 / $9,171.21	Facility		$1,145.10	$4,170.29	$9,171.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,485.74 / $1,526.81 / $2,832.42	Professional		$1,485.74	$1,526.81	$2,832.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,420.57 / $6,108.16	Facility		$97.00	$3,420.57	$6,108.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,833.49 / $8,929.49	Professional		$100.00	$3,833.49	$8,929.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,430.67	Facility		$2,119.51	$2,119.51	$2,430.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,183.10	Professional		$1,547.24	$1,547.24	$2,183.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,544.40 / $1,853.28 / $3,178.13	Professional		$1,544.40	$1,853.28	$3,178.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,733.53 / $2,022.45 / $4,391.60	Professional		$1,733.53	$2,022.45	$4,391.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,182.59 / $13,723.75 / $13,723.75	Facility		$6,182.59	$13,723.75	$13,723.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,834.51 / $15,834.51 / $20,938.88	Professional		$15,834.51	$15,834.51	$20,938.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,557.72 / $6,557.72 / $6,557.72	Professional		$6,557.72	$6,557.72	$6,557.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $808.65 / $2,600.29 / $3,033.67	Facility		$808.65	$2,600.29	$3,033.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $2,119.51 / $2,799.25	Professional		$1,547.24	$2,119.51	$2,799.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,453.28 / $5,453.28 / $5,453.28	Professional		$5,453.28	$5,453.28	$5,453.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,544.40 / $2,311.37 / $2,316.60	Professional		$1,544.40	$2,311.37	$2,316.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,200.30 / $1,509.47 / $3,865.59	Professional		$1,200.30	$1,509.47	$3,865.59