Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,106.94 / $2,106.94 / $11,058.60	Facility		$2,106.94	$2,106.94	$11,058.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,674.66 / $2,106.94 / $11,058.60	Professional		$1,674.66	$2,106.94	$11,058.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,599.96 / $5,815.05 / $12,166.46	Facility		$1,599.96	$5,815.05	$12,166.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,967.41 / $2,143.16 / $3,652.06	Professional		$1,967.41	$2,143.16	$3,652.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,537.70 / $8,103.04	Facility		$97.00	$4,537.70	$8,103.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,085.47 / $11,845.79	Professional		$100.00	$5,085.47	$11,845.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,792.69 / $2,540.30 / $2,540.30	Facility		$1,792.69	$2,540.30	$2,540.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $1,854.42 / $2,616.51	Professional		$1,854.42	$1,854.42	$2,616.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,048.78 / $2,458.54 / $4,216.08	Professional		$2,048.78	$2,458.54	$4,216.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,299.67 / $2,682.96 / $5,825.86	Professional		$2,299.67	$2,682.96	$5,825.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,597.28 / $18,286.54 / $18,286.54	Facility		$6,597.28	$18,286.54	$18,286.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,770.65 / $19,770.65 / $28,746.00	Professional		$19,770.65	$19,770.65	$28,746.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,093.11 / $8,093.11 / $8,093.11	Professional		$8,093.11	$8,093.11	$8,093.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,129.84 / $3,356.14 / $3,947.86	Facility		$1,129.84	$3,356.14	$3,947.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,854.42 / $2,540.30 / $3,648.12	Professional		$1,854.42	$2,540.30	$3,648.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,234.28 / $7,234.28 / $7,234.28	Professional		$7,234.28	$7,234.28	$7,234.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,048.78 / $3,066.24 / $3,073.17	Professional		$2,048.78	$3,066.24	$3,073.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,665.41 / $1,780.80 / $3,696.55	Professional		$1,665.41	$1,780.80	$3,696.55