Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $9,120.11	Facility		$1,047.13	$1,047.13	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $7,943.28	Professional		$831.76	$1,047.13	$7,943.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,023.29 / $4,365.16	Facility		$794.33	$1,023.29	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,290.87	Professional		$1,071.52	$1,071.52	$2,290.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,630.78 / $4,897.79	Facility		$100.00	$3,630.78	$4,897.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,890.45 / $6,760.83	Professional		$1,995.26	$3,890.45	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,096.48	Facility		$1,047.13	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,096.48	Professional		$812.83	$812.83	$1,096.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,570.40	Professional		$1,122.02	$1,380.38	$2,570.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,905.46 / $3,388.44	Professional		$1,258.93	$1,905.46	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $16,218.10 / $16,218.10	Professional		$11,220.18	$16,218.10	$16,218.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,819.70 / $2,570.40	Facility		$588.84	$1,819.70	$2,570.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,862.09	Professional		$812.83	$812.83	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $1,905.46	Professional		$1,122.02	$1,659.59	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $870.96 / $2,398.83	Facility		$144.54	$870.96	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $977.24 / $2,089.30	Professional		$812.83	$977.24	$2,089.30