Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,369.38 / $1,369.38 / $8,743.32	Facility		$1,369.38	$1,369.38	$8,743.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.61 / $1,369.38 / $8,743.32	Professional		$1,103.61	$1,369.38	$8,743.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.86 / $4,270.37 / $9,619.24	Facility		$1,039.86	$4,270.37	$9,619.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,369.38 / $1,379.65 / $2,790.76	Professional		$1,369.38	$1,379.65	$2,790.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,587.69 / $6,406.59	Facility		$97.00	$3,587.69	$6,406.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,020.77 / $9,365.74	Professional		$100.00	$4,020.77	$9,365.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,417.37 / $1,424.68 / $1,619.85	Facility		$1,417.37	$1,424.68	$1,619.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $3,478.88	Professional		$1,040.02	$1,040.02	$3,478.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $805.99 / $967.19 / $3,333.39	Professional		$805.99	$967.19	$3,333.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,818.21 / $2,121.25 / $4,606.13	Professional		$1,818.21	$2,121.25	$4,606.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,091.66 / $14,394.16 / $14,394.16	Facility		$6,091.66	$14,394.16	$14,394.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,545.68 / $14,545.68 / $19,949.63	Professional		$14,545.68	$14,545.68	$19,949.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,661.93 / $5,661.93 / $5,661.93	Professional		$5,661.93	$5,661.93	$5,661.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $734.33 / $2,632.25 / $3,030.35	Facility		$734.33	$2,632.25	$3,030.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,040.02 / $1,040.02 / $2,758.51	Professional		$1,040.02	$1,040.02	$2,758.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,719.69 / $5,719.69 / $5,719.69	Professional		$5,719.69	$5,719.69	$5,719.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $805.99 / $1,370.18 / $2,424.28	Professional		$805.99	$1,370.18	$2,424.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,070.69 / $1,365.04 / $2,883.28	Professional		$1,070.69	$1,365.04	$2,883.28