Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,367.87 / $1,367.87 / $8,761.51	Facility		$1,367.87	$1,367.87	$8,761.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.38 / $1,367.87 / $8,761.51	Professional		$1,094.38	$1,367.87	$8,761.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.73 / $4,279.28 / $9,639.29	Facility		$1,038.73	$4,279.28	$9,639.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,170.00 / $1,376.42 / $2,230.69	Professional		$1,170.00	$1,376.42	$2,230.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,595.15 / $6,419.90	Facility		$97.00	$3,595.15	$6,419.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,029.15 / $9,385.20	Professional		$100.00	$4,029.15	$9,385.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,420.31 / $1,654.54 / $1,654.54	Facility		$1,420.31	$1,654.54	$1,654.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,207.81 / $1,763.81	Professional		$1,207.81	$1,207.81	$1,763.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.21 / $1,947.85 / $3,340.34	Professional		$1,623.21	$1,947.85	$3,340.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,822.00 / $2,125.67 / $4,615.74	Professional		$1,822.00	$2,125.67	$4,615.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,869.16 / $12,123.54 / $14,424.18	Facility		$4,869.16	$12,123.54	$14,424.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,944.43 / $17,351.09 / $18,330.68	Professional		$16,944.43	$17,351.09	$18,330.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,124.22 / $5,124.22 / $5,124.22	Professional		$5,124.22	$5,124.22	$5,124.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $733.52 / $2,581.17 / $3,080.79	Facility		$733.52	$2,581.17	$3,080.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,207.81 / $1,654.54 / $2,812.90	Professional		$1,207.81	$1,654.54	$2,812.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,731.59 / $5,731.59 / $5,731.59	Professional		$5,731.59	$5,731.59	$5,731.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,623.21 / $2,429.34 / $2,434.82	Professional		$1,623.21	$2,429.34	$2,434.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,081.22 / $1,367.87 / $2,881.96	Professional		$1,081.22	$1,367.87	$2,881.96