Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.25 / $10,448.79 / $10,448.79	Facility		$1,381.25	$10,448.79	$10,448.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $975.00 / $1,348.75 / $10,448.79	Professional		$975.00	$1,348.75	$10,448.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $2,807.84 / $8,011.25	Facility		$614.00	$2,807.84	$8,011.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.00 / $2,756.02 / $6,444.92	Professional		$650.00	$2,756.02	$6,444.92
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,174.88 / $4,582.50	Facility		$92.60	$1,174.88	$4,582.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $739.38 / $1,056.25 / $2,641.15	Professional		$739.38	$1,056.25	$2,641.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.57 / $2,287.84 / $5,318.22	Facility		$1,104.57	$2,287.84	$5,318.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $869.44 / $1,910.87 / $3,138.96	Professional		$869.44	$1,910.87	$3,138.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.00 / $1,787.50 / $2,600.00	Professional		$1,625.00	$1,787.50	$2,600.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,787.50 / $3,103.75	Professional		$1,300.00	$1,787.50	$3,103.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $7,718.75 / $7,718.75	Facility		$2,600.00	$7,718.75	$7,718.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,125.00 / $8,125.00 / $12,187.50	Professional		$8,125.00	$8,125.00	$12,187.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $812.50 / $812.50 / $1,137.50	Professional		$812.50	$812.50	$1,137.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $975.00 / $1,753.38 / $3,880.71	Facility		$975.00	$1,753.38	$3,880.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $956.31 / $1,738.87 / $3,138.96	Professional		$956.31	$1,738.87	$3,138.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,703.75 / $5,703.75 / $5,703.75	Professional		$5,703.75	$5,703.75	$5,703.75
United Facility/Professional Professional Modifier Low / Median / High Price $682.50 / $682.50 / $3,121.63	Professional		$682.50	$682.50	$3,121.63