Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.70 / $1,672.70 / $10,714.00	Facility		$1,672.70	$1,672.70	$10,714.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,245.89 / $1,672.70 / $10,714.00	Professional		$1,245.89	$1,672.70	$10,714.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,270.21 / $5,232.89 / $11,787.38	Facility		$1,270.21	$5,232.89	$11,787.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,645.79 / $1,693.61 / $3,055.02	Professional		$1,645.79	$1,693.61	$3,055.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,396.32 / $7,850.56	Facility		$97.00	$4,396.32	$7,850.56
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,927.04 / $11,476.69	Professional		$100.00	$4,927.04	$11,476.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,736.83 / $2,125.02 / $2,125.02	Facility		$1,736.83	$2,125.02	$2,125.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $1,551.26 / $2,188.77	Professional		$1,551.26	$1,551.26	$2,188.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.96 / $1,731.55 / $4,084.72	Professional		$1,442.96	$1,731.55	$4,084.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,228.03 / $2,599.37 / $5,644.34	Professional		$2,228.03	$2,599.37	$5,644.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,668.49 / $17,638.56 / $17,638.56	Facility		$6,668.49	$17,638.56	$17,638.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,492.63 / $18,492.63 / $24,311.25	Professional		$18,492.63	$18,492.63	$24,311.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,171.46 / $6,171.46 / $6,171.46	Professional		$6,171.46	$6,171.46	$6,171.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.99 / $3,101.48 / $3,713.38	Facility		$896.99	$3,101.48	$3,713.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,551.26 / $2,125.02 / $3,034.56	Professional		$1,551.26	$2,125.02	$3,034.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,008.87 / $7,008.87 / $7,008.87	Professional		$7,008.87	$7,008.87	$7,008.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,442.96 / $2,453.03 / $2,970.70	Professional		$1,442.96	$2,453.03	$2,970.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,322.17 / $1,501.88 / $3,713.38	Professional		$1,322.17	$1,501.88	$3,713.38