Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,523.40 / $1,523.40 / $7,995.71	Facility		$1,523.40	$1,523.40	$7,995.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,210.83 / $1,523.40 / $7,995.71	Professional		$1,210.83	$1,523.40	$7,995.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,156.83 / $4,204.50 / $8,796.75	Facility		$1,156.83	$4,204.50	$8,796.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,280.27 / $1,705.93 / $2,640.60	Professional		$1,280.27	$1,705.93	$2,640.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,280.92 / $5,858.79	Facility		$97.00	$3,280.92	$5,858.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,676.97 / $8,564.91	Professional		$100.00	$3,676.97	$8,564.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.92 / $1,584.92 / $2,201.52	Facility		$1,584.92	$1,584.92	$2,201.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,156.99 / $1,689.60	Professional		$1,156.99	$1,156.99	$1,689.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,666.10 / $1,999.32 / $3,048.36	Professional		$1,666.10	$1,999.32	$3,048.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,662.74 / $1,939.87 / $4,212.28	Professional		$1,662.74	$1,939.87	$4,212.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,770.12 / $13,221.84 / $13,221.84	Facility		$4,770.12	$13,221.84	$13,221.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,294.89 / $14,294.89 / $20,784.30	Professional		$14,294.89	$14,294.89	$20,784.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,851.62 / $5,851.62 / $5,851.62	Professional		$5,851.62	$5,851.62	$5,851.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $857.77 / $2,637.71 / $2,854.45	Facility		$857.77	$2,637.71	$2,854.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,156.99 / $1,584.92 / $2,637.71	Professional		$1,156.99	$1,584.92	$2,637.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,230.62 / $5,230.62 / $5,230.62	Professional		$5,230.62	$5,230.62	$5,230.62
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,666.10 / $2,216.98 / $2,494.12	Professional		$1,666.10	$2,216.98	$2,494.12
United Facility/Professional Professional Modifier Low / Median / High Price $1,204.15 / $1,370.21 / $2,647.65	Professional		$1,204.15	$1,370.21	$2,647.65