Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,715.30 / $1,715.30 / $10,986.90	Facility		$1,715.30	$1,715.30	$10,986.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,302.17 / $1,715.30 / $10,986.90	Professional		$1,302.17	$1,715.30	$10,986.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,302.56 / $5,366.18 / $12,087.61	Facility		$1,302.56	$5,366.18	$12,087.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,457.79 / $1,715.30 / $2,706.06	Professional		$1,457.79	$1,715.30	$2,706.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,508.29 / $8,050.51	Facility		$97.00	$4,508.29	$8,050.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,052.53 / $11,769.00	Professional		$100.00	$5,052.53	$11,769.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,781.06 / $2,050.41 / $2,050.41	Facility		$1,781.06	$2,050.41	$2,050.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $3,373.13	Professional		$1,496.80	$1,496.80	$3,373.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,125.26 / $1,350.31 / $4,188.76	Professional		$1,125.26	$1,350.31	$4,188.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,284.78 / $2,665.57 / $5,788.10	Professional		$2,284.78	$2,665.57	$5,788.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,906.77 / $15,093.28 / $18,087.81	Facility		$5,906.77	$15,093.28	$18,087.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,918.90 / $19,372.95 / $23,832.68	Professional		$18,918.90	$19,372.95	$23,832.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,097.15 / $6,097.15 / $6,097.15	Professional		$6,097.15	$6,097.15	$6,097.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.83 / $3,053.24 / $3,807.96	Facility		$919.83	$3,053.24	$3,807.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,496.80 / $1,496.80 / $3,286.82	Professional		$1,496.80	$1,496.80	$3,286.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,187.38 / $7,187.38 / $7,187.38	Professional		$7,187.38	$7,187.38	$7,187.38
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,125.26 / $1,912.94 / $3,046.37	Professional		$1,125.26	$1,912.94	$3,046.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,341.17 / $1,673.42 / $3,807.96	Professional		$1,341.17	$1,673.42	$3,807.96