Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,966.59 / $1,966.59 / $12,596.40	Facility		$1,966.59	$1,966.59	$12,596.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,464.79 / $1,966.59 / $12,596.40	Professional		$1,464.79	$1,966.59	$12,596.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,493.38 / $6,152.30 / $13,858.39	Facility		$1,493.38	$6,152.30	$13,858.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,978.42 / $2,000.39 / $3,672.48	Professional		$1,978.42	$2,000.39	$3,672.48
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,168.72 / $9,229.87	Facility		$97.00	$5,168.72	$9,229.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,792.70 / $13,493.11	Professional		$100.00	$5,792.70	$13,493.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.98 / $2,694.60 / $2,694.60	Facility		$2,041.98	$2,694.60	$2,694.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,578.00	Professional		$1,967.06	$1,967.06	$4,578.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,141.93 / $1,370.32 / $4,802.39	Professional		$1,141.93	$1,370.32	$4,802.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,619.48 / $3,056.07 / $6,636.03	Professional		$2,619.48	$3,056.07	$6,636.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,016.27 / $20,737.59 / $20,737.59	Facility		$8,016.27	$20,737.59	$20,737.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,045.47 / $21,045.47 / $24,557.70	Professional		$21,045.47	$21,045.47	$24,557.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,838.42 / $7,838.42 / $7,838.42	Professional		$7,838.42	$7,838.42	$7,838.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,054.58 / $3,792.26 / $4,365.81	Facility		$1,054.58	$3,792.26	$4,365.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,967.06 / $1,967.06 / $4,151.96	Professional		$1,967.06	$1,967.06	$4,151.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,240.29 / $8,240.29 / $8,240.29	Professional		$8,240.29	$8,240.29	$8,240.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,141.93 / $1,941.28 / $3,492.65	Professional		$1,141.93	$1,941.28	$3,492.65
United Facility/Professional Professional Modifier Low / Median / High Price $1,537.65 / $1,918.57 / $4,365.81	Professional		$1,537.65	$1,918.57	$4,365.81