Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,471.56 / $1,471.56 / $9,422.89	Facility		$1,471.56	$1,471.56	$9,422.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,108.67 / $1,471.56 / $9,422.89	Professional		$1,108.67	$1,471.56	$9,422.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,117.46 / $4,602.29 / $10,366.91	Facility		$1,117.46	$4,602.29	$10,366.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,484.70 / $1,489.95 / $2,987.77	Professional		$1,484.70	$1,489.95	$2,987.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,866.52 / $6,904.51	Facility		$97.00	$3,866.52	$6,904.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,333.29 / $10,093.67	Professional		$100.00	$4,333.29	$10,093.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,527.53 / $1,787.17 / $1,787.17	Facility		$1,527.53	$1,787.17	$1,787.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $3,724.50	Professional		$1,304.63	$1,304.63	$3,724.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $853.14 / $1,023.77 / $3,592.48	Professional		$853.14	$1,023.77	$3,592.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,959.53 / $2,286.12 / $4,964.14	Professional		$1,959.53	$2,286.12	$4,964.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,521.70 / $15,512.98 / $15,512.98	Facility		$6,521.70	$15,512.98	$15,512.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,680.88 / $15,680.88 / $24,501.38	Professional		$15,680.88	$15,680.88	$24,501.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,166.35 / $6,166.35 / $6,166.35	Professional		$6,166.35	$6,166.35	$6,166.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.12 / $2,836.83 / $3,265.89	Facility		$789.12	$2,836.83	$3,265.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,304.63 / $1,304.63 / $3,030.52	Professional		$1,304.63	$1,304.63	$3,030.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,164.25 / $6,164.25 / $6,164.25	Professional		$6,164.25	$6,164.25	$6,164.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $853.14 / $1,450.34 / $2,612.71	Professional		$853.14	$1,450.34	$2,612.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,448.21 / $1,448.21 / $1,448.21	Facility		$1,448.21	$1,448.21	$1,448.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.58 / $1,473.04 / $3,160.06	Professional		$1,150.58	$1,473.04	$3,160.06