Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,464.14 / $1,464.14 / $9,378.12	Facility		$1,464.14	$1,464.14	$9,378.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,131.77 / $1,464.14 / $9,378.12	Professional		$1,131.77	$1,464.14	$9,378.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,111.83 / $4,580.43 / $10,317.68	Facility		$1,111.83	$4,580.43	$10,317.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,481.01 / $1,489.31 / $2,749.17	Professional		$1,481.01	$1,489.31	$2,749.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $3,848.15 / $6,871.70	Facility		$98.20	$3,848.15	$6,871.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,312.70 / $10,045.70	Professional		$100.00	$4,312.70	$10,045.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,520.27 / $1,523.27 / $1,737.45	Facility		$1,520.27	$1,523.27	$1,737.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,111.99 / $1,568.97	Professional		$1,111.99	$1,111.99	$1,568.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,332.14 / $1,598.57 / $3,575.42	Professional		$1,332.14	$1,598.57	$3,575.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,950.23 / $2,275.27 / $4,940.58	Professional		$1,950.23	$2,275.27	$4,940.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,985.83 / $12,771.35 / $15,439.31	Facility		$4,985.83	$12,771.35	$15,439.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,761.88 / $16,140.15 / $24,377.85	Professional		$15,761.88	$16,140.15	$24,377.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,463.86 / $5,463.86 / $5,463.86	Professional		$5,463.86	$5,463.86	$5,463.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $785.15 / $2,665.30 / $3,250.38	Facility		$785.15	$2,665.30	$3,250.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,111.99 / $1,523.27 / $2,380.65	Professional		$1,111.99	$1,523.27	$2,380.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,134.97 / $6,134.97 / $6,134.97	Professional		$6,134.97	$6,134.97	$6,134.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,332.14 / $2,264.64 / $2,600.30	Professional		$1,332.14	$2,264.64	$2,600.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,624.58 / $1,624.58 / $1,624.58	Facility		$1,624.58	$1,624.58	$1,624.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,157.32 / $1,465.61 / $3,388.46	Professional		$1,157.32	$1,465.61	$3,388.46