Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,387.39 / $1,387.39 / $7,276.04	Facility		$1,387.39	$1,387.39	$7,276.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.55 / $1,387.39 / $7,276.04	Professional		$1,110.55	$1,387.39	$7,276.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,053.55 / $3,829.13 / $8,004.95	Facility		$1,053.55	$3,829.13	$8,004.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,396.06 / $1,404.73 / $2,824.16	Professional		$1,396.06	$1,404.73	$2,824.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,985.60 / $5,331.42	Facility		$97.00	$2,985.60	$5,331.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,346.00 / $7,793.98	Professional		$100.00	$3,346.00	$7,793.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,179.50 / $1,964.43 / $1,964.43	Facility		$1,179.50	$1,964.43	$1,964.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,434.03 / $2,094.17	Professional		$1,434.03	$1,434.03	$2,094.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $815.10 / $978.12 / $2,773.98	Professional		$815.10	$978.12	$2,773.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,513.08 / $1,765.26 / $3,833.14	Professional		$1,513.08	$1,765.26	$3,833.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,101.71 / $12,160.93 / $12,160.93	Facility		$5,101.71	$12,160.93	$12,160.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,783.95 / $14,783.95 / $23,099.93	Professional		$14,783.95	$14,783.95	$23,099.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,809.02 / $5,809.02 / $5,809.02	Professional		$5,809.02	$5,809.02	$5,809.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $743.99 / $2,190.50 / $2,671.57	Facility		$743.99	$2,190.50	$2,671.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,434.03 / $1,964.43 / $2,521.80	Professional		$1,434.03	$1,964.43	$2,521.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,759.82 / $4,759.82 / $4,759.82	Professional		$4,759.82	$4,759.82	$4,759.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $815.10 / $1,385.67 / $2,017.44	Professional		$815.10	$1,385.67	$2,017.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.78 / $1,258.09 / $2,544.31	Professional		$1,084.78	$1,258.09	$2,544.31