Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.46 / $1,202.46 / $6,748.59	Facility		$1,202.46	$1,202.46	$6,748.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $929.15 / $1,202.46 / $6,748.59	Professional		$929.15	$1,202.46	$6,748.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.12 / $3,376.13 / $7,424.72	Facility		$913.12	$3,376.13	$7,424.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,070.99 / $1,247.18 / $2,041.68	Professional		$1,070.99	$1,247.18	$2,041.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,769.15 / $4,944.91	Facility		$97.00	$2,769.15	$4,944.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,103.48 / $7,229.01	Professional		$100.00	$3,103.48	$7,229.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,094.00 / $1,304.10 / $1,304.10	Facility		$1,094.00	$1,304.10	$1,304.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $952.00 / $1,343.23	Professional		$952.00	$952.00	$1,343.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,250.29 / $1,500.35 / $2,572.91	Professional		$1,250.29	$1,500.35	$2,572.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,403.41 / $1,637.31 / $3,555.30	Professional		$1,403.41	$1,637.31	$3,555.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,456.58 / $11,110.30 / $11,110.30	Facility		$4,456.58	$11,110.30	$11,110.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,980.54 / $11,980.54 / $16,083.15	Professional		$11,980.54	$11,980.54	$16,083.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,104.30 / $4,104.30 / $4,104.30	Professional		$4,104.30	$4,104.30	$4,104.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $644.82 / $1,988.16 / $2,339.01	Facility		$644.82	$1,988.16	$2,339.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,304.10 / $1,988.16	Professional		$952.00	$1,304.10	$1,988.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,414.78 / $4,414.78 / $4,414.78	Professional		$4,414.78	$4,414.78	$4,414.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,250.29 / $1,871.21 / $1,875.44	Professional		$1,250.29	$1,871.21	$1,875.44
United Facility/Professional Professional Modifier Low / Median / High Price $906.93 / $998.83 / $2,222.17	Professional		$906.93	$998.83	$2,222.17