Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,130.27 / $1,130.27 / $7,239.60	Facility		$1,130.27	$1,130.27	$7,239.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $989.98 / $1,130.26 / $1,657.20	Professional		$989.98	$1,130.26	$1,657.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $858.30 / $3,535.95 / $7,964.92	Facility		$858.30	$3,535.95	$7,964.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.00 / $1,136.98 / $1,931.18	Professional		$1,013.00	$1,136.98	$1,931.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $2,970.66 / $5,304.75	Facility		$98.20	$2,970.66	$5,304.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,329.26 / $7,754.99	Professional		$100.00	$3,329.26	$7,754.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,173.59 / $1,277.46 / $1,341.26	Facility		$1,173.59	$1,277.46	$1,341.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $932.55 / $1,498.02	Professional		$932.55	$932.55	$1,498.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,026.38 / $1,231.66 / $2,760.11	Professional		$1,026.38	$1,231.66	$2,760.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,505.51 / $1,756.43 / $3,813.97	Professional		$1,505.51	$1,756.43	$3,813.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,841.31 / $11,918.65 / $11,918.65	Facility		$3,841.31	$11,918.65	$11,918.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,143.39 / $12,434.81 / $18,818.93	Professional		$12,143.39	$12,434.81	$18,818.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,513.95 / $6,513.95 / $6,513.95	Professional		$6,513.95	$6,513.95	$6,513.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $606.11 / $2,168.52 / $2,509.19	Facility		$606.11	$2,168.52	$2,509.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $932.55 / $1,277.46 / $1,916.30	Professional		$932.55	$1,277.46	$1,916.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,735.99 / $4,735.99 / $4,735.99	Professional		$4,735.99	$4,735.99	$4,735.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,026.38 / $1,744.85 / $2,007.35	Professional		$1,026.38	$1,744.85	$2,007.35
United Facility/Professional Professional Modifier Low / Median / High Price $852.48 / $938.86 / $2,387.40	Professional		$852.48	$938.86	$2,387.40