Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,935.78 / $1,935.78 / $12,399.10	Facility		$1,935.78	$1,935.78	$12,399.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,478.15 / $1,935.78 / $12,399.10	Professional		$1,478.15	$1,935.78	$12,399.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,469.99 / $6,055.92 / $13,641.30	Facility		$1,469.99	$6,055.92	$13,641.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,946.42 / $1,947.88 / $3,613.08	Professional		$1,946.42	$1,947.88	$3,613.08
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $5,087.76 / $9,085.28	Facility		$98.20	$5,087.76	$9,085.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,701.95 / $13,281.74	Professional		$100.00	$5,701.95	$13,281.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,009.99 / $2,561.34 / $2,561.34	Facility		$2,009.99	$2,561.34	$2,561.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $1,869.78 / $2,730.51	Professional		$1,869.78	$1,869.78	$2,730.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,173.23 / $1,407.88 / $4,727.16	Professional		$1,173.23	$1,407.88	$4,727.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,578.44 / $3,008.19 / $6,532.08	Professional		$2,578.44	$3,008.19	$6,532.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,735.79 / $16,910.75 / $20,412.75	Facility		$6,735.79	$16,910.75	$20,412.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,294.00 / $21,805.07 / $25,474.80	Professional		$21,294.00	$21,805.07	$25,474.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,128.49 / $8,128.49 / $8,128.49	Professional		$8,128.49	$8,128.49	$8,128.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,038.06 / $3,732.85 / $4,297.42	Facility		$1,038.06	$3,732.85	$4,297.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,869.78 / $2,561.34 / $3,773.87	Professional		$1,869.78	$2,561.34	$3,773.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,111.20 / $8,111.20 / $8,111.20	Professional		$8,111.20	$8,111.20	$8,111.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,173.23 / $1,994.49 / $3,437.94	Professional		$1,173.23	$1,994.49	$3,437.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,894.65 / $4,297.42	Professional		$1,513.56	$1,894.65	$4,297.42