Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $18,197.01	Facility		$1,862.09	$1,862.09	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $15,848.93	Professional		$1,380.38	$1,862.09	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $8,128.31	Facility		$1,412.54	$1,819.70	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $4,570.88	Professional		$1,905.46	$1,905.46	$4,570.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $7,244.36 / $9,772.37	Facility		$100.00	$7,244.36	$9,772.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,489.63	Professional		$3,981.07	$7,762.47	$13,489.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,454.71	Facility		$1,949.84	$2,454.71	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,454.71	Professional		$1,819.70	$1,819.70	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $5,128.61	Professional		$1,230.27	$1,548.82	$5,128.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,801.89 / $6,606.93	Professional		$2,511.89	$3,801.89	$6,606.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $19,498.45 / $19,498.45	Facility		$19,498.45	$19,498.45	$19,498.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $28,840.32 / $28,840.32	Professional		$22,908.68	$28,840.32	$28,840.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $5,128.61	Facility		$1,288.25	$3,630.78	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,981.07	Professional		$1,819.70	$1,819.70	$3,981.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,801.89	Professional		$1,230.27	$1,862.09	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $2,041.74 / $4,265.80	Facility		$257.04	$2,041.74	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $4,168.69	Professional		$1,445.44	$1,862.09	$4,168.69