Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,866.13 / $1,866.13 / $11,952.90	Facility		$1,866.13	$1,866.13	$11,952.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,389.96 / $1,866.13 / $11,952.90	Professional		$1,389.96	$1,866.13	$11,952.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,417.09 / $5,838.01 / $13,150.43	Facility		$1,417.09	$5,838.01	$13,150.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,889.45 / $1,898.20 / $3,565.11	Professional		$1,889.45	$1,898.20	$3,565.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,904.68 / $8,758.37	Facility		$97.00	$4,904.68	$8,758.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,496.77 / $12,803.83	Professional		$100.00	$5,496.77	$12,803.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,937.66 / $2,479.82 / $2,479.82	Facility		$1,937.66	$2,479.82	$2,479.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $1,810.27 / $2,554.21	Professional		$1,810.27	$1,810.27	$2,554.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.13 / $1,483.36 / $4,557.06	Professional		$1,236.13	$1,483.36	$4,557.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,485.67 / $2,899.95 / $6,297.03	Professional		$2,485.67	$2,899.95	$6,297.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,114.21 / $16,444.91 / $19,678.21	Facility		$7,114.21	$16,444.91	$19,678.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,490.28 / $23,030.06 / $28,806.08	Professional		$22,490.28	$23,030.06	$28,806.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,442.41 / $6,442.41 / $6,442.41	Professional		$6,442.41	$6,442.41	$6,442.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,000.71 / $3,580.33 / $4,198.78	Facility		$1,000.71	$3,580.33	$4,198.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,810.27 / $2,479.82 / $3,943.16	Professional		$1,810.27	$2,479.82	$3,943.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,819.35 / $7,819.35 / $7,819.35	Professional		$7,819.35	$7,819.35	$7,819.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,236.13 / $2,101.42 / $3,314.22	Professional		$1,236.13	$2,101.42	$3,314.22
United Facility/Professional Professional Modifier Low / Median / High Price $1,459.10 / $1,868.00 / $4,142.88	Professional		$1,459.10	$1,868.00	$4,142.88