Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,357.70 / $1,357.70 / $6,582.10	Facility		$1,357.70	$1,357.70	$6,582.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,138.22 / $1,357.70 / $6,582.10	Professional		$1,138.22	$1,357.70	$6,582.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,031.01 / $3,497.23 / $7,241.53	Facility		$1,031.01	$3,497.23	$7,241.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,353.14 / $1,381.04 / $2,511.79	Professional		$1,353.14	$1,381.04	$2,511.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,700.85 / $4,822.95	Facility		$97.00	$2,700.85	$4,822.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,026.89 / $7,050.65	Professional		$100.00	$3,026.89	$7,050.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,067.01 / $1,747.16 / $1,747.16	Facility		$1,067.01	$1,747.16	$1,747.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,275.43 / $1,799.57	Professional		$1,275.43	$1,275.43	$1,799.57
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,016.14 / $1,219.36 / $2,509.42	Professional		$1,016.14	$1,219.36	$2,509.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.78 / $1,596.91 / $3,467.58	Professional		$1,368.78	$1,596.91	$3,467.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,537.43 / $11,750.92 / $11,750.92	Facility		$4,537.43	$11,750.92	$11,750.92
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,013.65 / $13,013.65 / $16,954.28	Professional		$13,013.65	$13,013.65	$16,954.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,389.49 / $5,389.49 / $5,389.49	Professional		$5,389.49	$5,389.49	$5,389.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $728.07 / $2,016.87 / $2,395.37	Facility		$728.07	$2,016.87	$2,395.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,275.43 / $1,747.16 / $2,374.66	Professional		$1,275.43	$1,747.16	$2,374.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,305.87 / $4,305.87 / $4,305.87	Professional		$4,305.87	$4,305.87	$4,305.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,016.14 / $1,727.44 / $1,825.04	Professional		$1,016.14	$1,727.44	$1,825.04
United Facility/Professional Professional Modifier Low / Median / High Price $1,042.72 / $1,147.54 / $2,282.48	Professional		$1,042.72	$1,147.54	$2,282.48