Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,481.52 / $1,481.52 / $7,775.96	Facility		$1,481.52	$1,481.52	$7,775.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,177.55 / $1,481.52 / $7,775.96	Professional		$1,177.55	$1,481.52	$7,775.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,125.05 / $4,088.99 / $8,554.99	Facility		$1,125.05	$4,088.99	$8,554.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,383.41 / $1,487.71 / $2,567.98	Professional		$1,383.41	$1,487.71	$2,567.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,190.73 / $5,697.72	Facility		$97.00	$3,190.73	$5,697.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,575.90 / $8,329.50	Professional		$100.00	$3,575.90	$8,329.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.24 / $1,786.24 / $2,141.00	Facility		$1,786.24	$1,786.24	$2,141.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,303.96 / $1,839.83	Professional		$1,303.96	$1,303.96	$1,839.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,440.62 / $1,728.74 / $2,964.59	Professional		$1,440.62	$1,728.74	$2,964.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,617.05 / $1,886.56 / $4,096.52	Professional		$1,617.05	$1,886.56	$4,096.52
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,638.93 / $12,858.35 / $12,858.35	Facility		$4,638.93	$12,858.35	$12,858.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,901.92 / $13,901.92 / $20,213.09	Professional		$13,901.92	$13,901.92	$20,213.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,690.71 / $5,690.71 / $5,690.71	Professional		$5,690.71	$5,690.71	$5,690.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $794.47 / $2,430.44 / $2,775.96	Facility		$794.47	$2,430.44	$2,775.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,303.96 / $1,786.24 / $2,565.21	Professional		$1,303.96	$1,786.24	$2,565.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,086.85 / $5,086.85 / $5,086.85	Professional		$5,086.85	$5,086.85	$5,086.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,440.62 / $2,156.06 / $2,160.92	Professional		$1,440.62	$2,156.06	$2,160.92
United Facility/Professional Professional Modifier Low / Median / High Price $1,171.05 / $1,344.55 / $3,683.62	Professional		$1,171.05	$1,344.55	$3,683.62