Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,320.80 / $1,320.80 / $13,052.90	Facility		$1,320.80	$1,320.80	$13,052.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,320.80 / $1,320.80 / $13,052.90	Professional		$1,320.80	$1,320.80	$13,052.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $202.00 / $570.00 / $10,170.29	Facility		$202.00	$570.00	$10,170.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $805.60 / $2,546.00	Professional		$200.00	$805.60	$2,546.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $1,467.69 / $5,724.60	Facility		$92.60	$1,467.69	$5,724.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $923.65 / $1,319.50 / $3,317.09	Professional		$923.65	$1,319.50	$3,317.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,379.87 / $3,404.31 / $6,795.43	Facility		$1,379.87	$3,404.31	$6,795.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,081.02 / $1,746.28 / $3,921.51	Professional		$1,081.02	$1,746.28	$3,921.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,030.00 / $2,233.00 / $2,740.50	Professional		$2,030.00	$2,233.00	$2,740.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,827.00 / $2,334.50 / $4,457.00	Professional		$1,827.00	$2,334.50	$4,457.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,532.20 / $9,642.50 / $9,642.50	Facility		$3,532.20	$9,642.50	$9,642.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,150.00 / $10,150.00 / $15,225.00	Professional		$10,150.00	$10,150.00	$15,225.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,400.57 / $2,436.00 / $5,822.95	Facility		$1,400.57	$2,436.00	$5,822.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,348.99 / $2,233.00 / $3,921.51	Professional		$1,348.99	$2,233.00	$3,921.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,125.30 / $7,125.30 / $7,125.30	Professional		$7,125.30	$7,125.30	$7,125.30
United Facility/Professional Professional Modifier Low / Median / High Price $852.60 / $860.72 / $4,033.20	Professional		$852.60	$860.72	$4,033.20