Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,619.76 / $1,619.76 / $8,501.54	Facility		$1,619.76	$1,619.76	$8,501.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,287.43 / $1,619.76 / $8,501.54	Professional		$1,287.43	$1,619.76	$8,501.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.01 / $4,470.47 / $9,353.27	Facility		$1,230.01	$4,470.47	$9,353.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,512.49 / $1,647.60 / $2,807.60	Professional		$1,512.49	$1,647.60	$2,807.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,488.47 / $6,229.41	Facility		$97.00	$3,488.47	$6,229.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,909.58 / $9,106.73	Professional		$100.00	$3,909.58	$9,106.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,378.17 / $1,952.91 / $1,952.91	Facility		$1,378.17	$1,952.91	$1,952.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,425.62 / $2,081.90	Professional		$1,425.62	$1,425.62	$2,081.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,575.05 / $1,890.06 / $3,241.22	Professional		$1,575.05	$1,890.06	$3,241.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,767.94 / $2,062.59 / $4,478.77	Professional		$1,767.94	$2,062.59	$4,478.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,071.80 / $14,058.21 / $14,058.21	Facility		$5,071.80	$14,058.21	$14,058.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,199.11 / $15,199.11 / $22,099.20	Professional		$15,199.11	$15,199.11	$22,099.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,221.72 / $6,221.72 / $6,221.72	Professional		$6,221.72	$6,221.72	$6,221.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.59 / $2,580.11 / $3,034.99	Facility		$868.59	$2,580.11	$3,034.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,425.62 / $1,952.91 / $2,804.58	Professional		$1,425.62	$1,952.91	$2,804.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,561.52 / $5,561.52 / $5,561.52	Professional		$5,561.52	$5,561.52	$5,561.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,575.05 / $2,357.25 / $2,362.58	Professional		$1,575.05	$2,357.25	$2,362.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,266.47 / $1,447.03 / $2,946.56	Professional		$1,266.47	$1,447.03	$2,946.56