Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.26 / $1,049.26 / $5,996.89	Facility		$1,049.26	$1,049.26	$5,996.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.77 / $1,049.26 / $5,996.89	Professional		$810.77	$1,049.26	$5,996.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.79 / $3,000.08 / $6,597.72	Facility		$796.79	$3,000.08	$6,597.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $991.68 / $1,069.65 / $1,890.53	Professional		$991.68	$1,069.65	$1,890.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,460.69 / $4,394.10	Facility		$97.00	$2,460.69	$4,394.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,757.79 / $6,423.80	Professional		$100.00	$2,757.79	$6,423.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $972.13 / $1,108.41 / $1,111.01	Facility		$972.13	$1,108.41	$1,111.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $809.14 / $1,181.61	Professional		$809.14	$809.14	$1,181.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,111.01 / $1,333.21 / $2,286.33	Professional		$1,111.01	$1,333.21	$2,286.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,247.08 / $1,454.94 / $3,159.29	Professional		$1,247.08	$1,454.94	$3,159.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,126.64 / $9,872.78 / $9,872.78	Facility		$4,126.64	$9,872.78	$9,872.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,100.47 / $11,100.47 / $16,188.90	Professional		$11,100.47	$11,100.47	$16,188.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,246.19 / $5,246.19 / $5,246.19	Professional		$5,246.19	$5,246.19	$5,246.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $1,747.03 / $2,078.48	Facility		$562.66	$1,747.03	$2,078.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $809.14 / $1,108.41 / $1,818.89	Professional		$809.14	$1,108.41	$1,818.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,923.03 / $3,923.03 / $3,923.03	Professional		$3,923.03	$3,923.03	$3,923.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,111.01 / $1,662.78 / $1,666.52	Professional		$1,111.01	$1,662.78	$1,666.52
United Facility/Professional Professional Modifier Low / Median / High Price $805.84 / $871.57 / $1,888.59	Professional		$805.84	$871.57	$1,888.59