Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.92 / $1,231.92 / $7,890.68	Facility		$1,231.92	$1,231.92	$7,890.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.50 / $1,231.92 / $7,890.68	Professional		$900.50	$1,231.92	$7,890.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.51 / $3,853.94 / $8,681.20	Facility		$935.51	$3,853.94	$8,681.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,247.33 / $1,253.11 / $2,353.80	Professional		$1,247.33	$1,253.11	$2,353.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,237.82 / $5,781.82	Facility		$97.00	$3,237.82	$5,781.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,628.68 / $8,452.40	Professional		$100.00	$3,628.68	$8,452.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,279.15 / $1,637.27 / $1,637.27	Facility		$1,279.15	$1,637.27	$1,637.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,195.21 / $1,686.39	Professional		$1,195.21	$1,195.21	$1,686.39
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,215.57 / $1,458.68 / $3,008.32	Professional		$1,215.57	$1,458.68	$3,008.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,640.90 / $1,914.39 / $4,156.96	Professional		$1,640.90	$1,914.39	$4,156.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,549.70 / $10,648.17 / $12,990.49	Facility		$4,549.70	$10,648.17	$12,990.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,383.26 / $14,728.46 / $15,383.48	Professional		$14,383.26	$14,728.46	$15,383.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,728.28 / $4,728.28 / $4,728.28	Professional		$4,728.28	$4,728.28	$4,728.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.62 / $2,306.48 / $2,774.60	Facility		$660.62	$2,306.48	$2,774.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,195.21 / $1,637.27 / $2,007.58	Professional		$1,195.21	$1,637.27	$2,007.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,161.91 / $5,161.91 / $5,161.91	Professional		$5,161.91	$5,161.91	$5,161.91
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,215.57 / $2,066.46 / $2,187.87	Professional		$1,215.57	$2,066.46	$2,187.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,366.91 / $1,366.91 / $1,366.91	Facility		$1,366.91	$1,366.91	$1,366.91
United Facility/Professional Professional Modifier Low / Median / High Price $963.22 / $1,201.83 / $2,734.84	Professional		$963.22	$1,201.83	$2,734.84