Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.85 / $1,644.85 / $10,438.29	Facility		$1,644.85	$1,644.85	$10,438.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,199.04 / $1,644.85 / $10,438.29	Professional		$1,199.04	$1,644.85	$10,438.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,249.06 / $5,098.25 / $11,484.08	Facility		$1,249.06	$5,098.25	$11,484.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,468.33 / $1,660.84 / $2,799.22	Professional		$1,468.33	$1,660.84	$2,799.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $4,283.18 / $7,648.55	Facility		$98.20	$4,283.18	$7,648.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,800.25 / $11,181.40	Professional		$100.00	$4,800.25	$11,181.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,692.13 / $1,711.28 / $1,933.86	Facility		$1,692.13	$1,711.28	$1,933.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,249.23 / $1,824.31	Professional		$1,249.23	$1,249.23	$1,824.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,341.49 / $1,609.79 / $3,979.61	Professional		$1,341.49	$1,609.79	$3,979.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,170.69 / $2,532.48 / $5,499.10	Professional		$2,170.69	$2,532.48	$5,499.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,110.12 / $17,184.68 / $17,184.68	Facility		$6,110.12	$17,184.68	$17,184.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,908.25 / $17,908.25 / $20,539.95	Professional		$17,908.25	$17,908.25	$20,539.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,614.25 / $5,614.25 / $5,614.25	Professional		$5,614.25	$5,614.25	$5,614.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $882.05 / $3,009.91 / $3,617.83	Facility		$882.05	$3,009.91	$3,617.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,249.23 / $1,711.28 / $3,443.51	Professional		$1,249.23	$1,711.28	$3,443.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,828.52 / $6,828.52 / $6,828.52	Professional		$6,828.52	$6,828.52	$6,828.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,341.49 / $2,280.53 / $2,894.26	Professional		$1,341.49	$2,280.53	$2,894.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.15 / $1,595.44 / $3,617.83	Professional		$1,300.15	$1,595.44	$3,617.83