Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.17 / $1,332.03 / $6,471.46	Facility		$1,105.17	$1,332.03	$6,471.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $910.98 / $1,105.17 / $3,050.01	Professional		$910.98	$1,105.17	$3,050.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.48 / $570.00 / $5,140.00	Facility		$167.48	$570.00	$5,140.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $982.78 / $1,579.40 / $3,174.36	Professional		$982.78	$1,579.40	$3,174.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,440.91 / $3,011.81	Facility		$97.00	$1,440.91	$3,011.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $738.05 / $1,108.85 / $2,633.98	Professional		$738.05	$1,108.85	$2,633.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.58 / $1,287.97 / $3,932.06	Facility		$1,079.58	$1,287.97	$3,932.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,131.94 / $1,560.67 / $3,133.21	Professional		$1,131.94	$1,560.67	$3,133.21
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,009.82 / $1,375.88 / $1,857.44	Professional		$1,009.82	$1,375.88	$1,857.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.55 / $1,277.42 / $2,173.89	Professional		$992.55	$1,277.42	$2,173.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,991.59 / $4,676.16 / $5,572.13	Facility		$1,991.59	$4,676.16	$5,572.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,397.70 / $6,397.70 / $8,712.53	Professional		$6,397.70	$6,397.70	$8,712.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,406.93	Professional		$32.34	$32.34	$1,406.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $998.12 / $1,364.10 / $1,926.70	Facility		$998.12	$1,364.10	$1,926.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,191.49 / $1,708.68 / $2,839.56	Professional		$1,191.49	$1,708.68	$2,839.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,226.41 / $3,226.41 / $3,226.41	Professional		$3,226.41	$3,226.41	$3,226.41
United Facility/Professional Facility Modifier Low / Median / High Price $1,192.53 / $1,192.53 / $1,192.53	Facility		$1,192.53	$1,192.53	$1,192.53
United Facility/Professional Professional Modifier Low / Median / High Price $785.15 / $1,153.22 / $2,716.63	Professional		$785.15	$1,153.22	$2,716.63