Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,609.35 / $1,609.35 / $10,308.20	Facility		$1,609.35	$1,609.35	$10,308.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,215.34 / $1,609.35 / $10,308.20	Professional		$1,215.34	$1,609.35	$10,308.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.09 / $5,034.71 / $11,340.95	Facility		$1,222.09	$5,034.71	$11,340.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,619.41 / $1,621.42 / $3,051.47	Professional		$1,619.41	$1,621.42	$3,051.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,229.79 / $7,553.21	Facility		$97.00	$4,229.79	$7,553.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,740.42 / $11,042.03	Professional		$100.00	$4,740.42	$11,042.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,283.76 / $2,283.76 / $3,636.40	Facility		$2,283.76	$2,283.76	$3,636.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $1,667.14 / $2,434.60	Professional		$1,667.14	$1,667.14	$2,434.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,909.77 / $2,291.71 / $3,930.01	Professional		$1,909.77	$2,291.71	$3,930.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,143.64 / $2,500.92 / $5,430.56	Professional		$2,143.64	$2,500.92	$5,430.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,950.70 / $14,087.74 / $16,970.52	Facility		$5,950.70	$14,087.74	$16,970.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,640.13 / $19,087.47 / $20,945.48	Professional		$18,640.13	$19,087.47	$20,945.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,890.52 / $6,890.52 / $6,890.52	Professional		$6,890.52	$6,890.52	$6,890.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $863.01 / $3,236.81 / $3,636.40	Facility		$863.01	$3,236.81	$3,636.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,667.14 / $2,283.76 / $3,199.06	Professional		$1,667.14	$2,283.76	$3,199.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,743.42 / $6,743.42 / $6,743.42	Professional		$6,743.42	$6,743.42	$6,743.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,909.77 / $2,858.19 / $2,864.66	Professional		$1,909.77	$2,858.19	$2,864.66
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.33 / $1,570.06 / $3,399.34	Professional		$1,258.33	$1,570.06	$3,399.34