Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,714.90 / $1,714.90 / $10,699.50	Facility		$1,714.90	$1,714.90	$10,699.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,401.04 / $1,714.90 / $10,699.50	Professional		$1,401.04	$1,714.90	$10,699.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,302.25 / $5,225.82 / $11,771.45	Facility		$1,302.25	$5,225.82	$11,771.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,736.33 / $1,744.37 / $3,379.18	Professional		$1,736.33	$1,744.37	$3,379.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,390.35 / $7,839.92	Facility		$97.00	$4,390.35	$7,839.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,920.37 / $11,461.22	Professional		$100.00	$4,920.37	$11,461.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.47 / $1,784.15 / $1,982.25	Facility		$1,734.47	$1,784.15	$1,982.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,302.43 / $1,837.67	Professional		$1,302.43	$1,302.43	$1,837.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $987.19 / $1,184.63 / $4,079.20	Professional		$987.19	$1,184.63	$4,079.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,225.02 / $2,595.85 / $5,636.71	Professional		$2,225.02	$2,595.85	$5,636.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,376.07 / $17,614.71 / $17,614.71	Facility		$7,376.07	$17,614.71	$17,614.71
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,819.31 / $17,819.31 / $26,617.20	Professional		$17,819.31	$17,819.31	$26,617.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,952.59 / $6,952.59 / $6,952.59	Professional		$6,952.59	$6,952.59	$6,952.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $919.62 / $3,221.15 / $3,712.38	Facility		$919.62	$3,221.15	$3,712.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,302.43 / $1,784.15 / $3,426.40	Professional		$1,302.43	$1,784.15	$3,426.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,999.40 / $6,999.40 / $6,999.40	Professional		$6,999.40	$6,999.40	$6,999.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $987.19 / $1,678.22 / $2,966.69	Professional		$987.19	$1,678.22	$2,966.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,327.58 / $1,449.44 / $3,588.20	Professional		$1,327.58	$1,449.44	$3,588.20