Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,838.86 / $1,838.86 / $9,651.53	Facility		$1,838.86	$1,838.86	$9,651.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,461.58 / $1,838.86 / $9,651.53	Professional		$1,461.58	$1,838.86	$9,651.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,396.39 / $5,075.18 / $10,618.45	Facility		$1,396.39	$5,075.18	$10,618.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,717.09 / $1,838.86 / $3,187.39	Professional		$1,717.09	$1,838.86	$3,187.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,960.34 / $7,072.04	Facility		$97.00	$3,960.34	$7,072.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,438.43 / $10,338.58	Professional		$100.00	$4,438.43	$10,338.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,564.59 / $2,217.07 / $2,217.07	Facility		$1,564.59	$2,217.07	$2,217.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $1,618.46 / $2,363.51	Professional		$1,618.46	$1,618.46	$2,363.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,297.84 / $1,557.42 / $3,679.64	Professional		$1,297.84	$1,557.42	$3,679.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,007.08 / $2,341.59 / $5,084.60	Professional		$2,007.08	$2,341.59	$5,084.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,757.86 / $16,018.84 / $16,018.84	Facility		$5,757.86	$16,018.84	$16,018.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,255.00 / $17,255.00 / $25,088.48	Professional		$17,255.00	$17,255.00	$25,088.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,063.27 / $7,063.27 / $7,063.27	Professional		$7,063.27	$7,063.27	$7,063.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $986.09 / $2,905.67 / $3,445.50	Facility		$986.09	$2,905.67	$3,445.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,618.46 / $2,217.07 / $3,183.95	Professional		$1,618.46	$2,217.07	$3,183.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,313.82 / $6,313.82 / $6,313.82	Professional		$6,313.82	$6,313.82	$6,313.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,297.84 / $2,206.35 / $2,676.10	Professional		$1,297.84	$2,206.35	$2,676.10
United Facility/Professional Facility Modifier Low / Median / High Price $252.30 / $2,018.42 / $2,353.73	Facility		$252.30	$2,018.42	$2,353.73
United Facility/Professional Professional Modifier Low / Median / High Price $1,437.77 / $1,616.78 / $3,174.71	Professional		$1,437.77	$1,616.78	$3,174.71