Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,727.58 / $1,727.58 / $5,854.58	Facility		$1,727.58	$1,727.58	$5,854.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $915.08 / $1,727.58 / $5,854.58	Professional		$915.08	$1,727.58	$5,854.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,910.09 / $3,241.16 / $7,863.16	Facility		$1,910.09	$3,241.16	$7,863.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,612.78 / $2,476.92 / $2,546.78	Professional		$1,612.78	$2,476.92	$2,546.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,719.76 / $4,999.93	Facility		$97.00	$3,719.76	$4,999.93
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,692.33 / $6,271.34	Professional		$100.00	$2,692.33	$6,271.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,650.90 / $1,650.90 / $2,495.98	Facility		$1,650.90	$1,650.90	$2,495.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,403.27 / $1,700.43	Professional		$1,403.27	$1,403.27	$1,700.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,623.32 / $2,029.15 / $2,434.98	Professional		$1,623.32	$2,029.15	$2,434.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,217.49 / $1,420.41 / $3,449.56	Professional		$1,217.49	$1,420.41	$3,449.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,492.72 / $9,683.48 / $9,683.48	Facility		$3,492.72	$9,683.48	$9,683.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,487.98 / $10,487.98 / $15,218.63	Professional		$10,487.98	$10,487.98	$15,218.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,284.68 / $4,284.68 / $4,284.68	Professional		$4,284.68	$4,284.68	$4,284.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $926.42 / $2,029.15 / $2,536.44	Facility		$926.42	$2,029.15	$2,536.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,403.27 / $1,650.90 / $1,931.37	Professional		$1,403.27	$1,650.90	$1,931.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,829.94 / $3,829.94 / $3,829.94	Professional		$3,829.94	$3,829.94	$3,829.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,623.32 / $1,623.32 / $1,623.32	Professional		$1,623.32	$1,623.32	$1,623.32
United Facility/Professional Facility Modifier Low / Median / High Price $772.32 / $1,224.69 / $2,211.31	Facility		$772.32	$1,224.69	$2,211.31
United Facility/Professional Professional Modifier Low / Median / High Price $926.78 / $1,326.79 / $2,211.31	Professional		$926.78	$1,326.79	$2,211.31