Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $11,748.98	Facility		$1,479.11	$1,479.11	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $10,232.93	Professional		$1,174.90	$1,513.56	$10,232.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $6,025.60	Facility		$1,122.02	$1,412.54	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $3,311.31	Professional		$1,513.56	$1,513.56	$3,311.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,677.35 / $6,309.57	Facility		$100.00	$4,677.35	$6,309.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $5,011.87 / $8,709.64	Professional		$2,570.40	$5,011.87	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,949.84 / $1,949.84	Facility		$1,258.93	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,949.84	Professional		$1,445.44	$1,445.44	$1,949.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,311.31	Professional		$1,174.90	$1,445.44	$3,311.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $4,365.16	Professional		$1,659.59	$2,454.71	$4,365.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $19,054.61 / $19,054.61	Professional		$14,454.40	$19,054.61	$19,054.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,454.71 / $3,388.44	Facility		$870.96	$2,454.71	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,754.23	Professional		$1,445.44	$1,445.44	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $2,454.71	Professional		$1,174.90	$1,737.80	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $1,621.81 / $3,311.31	Facility		$204.17	$1,621.81	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,691.53	Professional		$1,148.15	$1,479.11	$2,691.53