Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.05 / $1,163.05 / $6,803.35	Facility		$1,163.05	$1,163.05	$6,803.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.44 / $1,163.05 / $6,803.35	Professional		$958.44	$1,163.05	$6,803.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $883.19 / $3,403.51 / $7,484.94	Facility		$883.19	$3,403.51	$7,484.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,055.13 / $1,133.98 / $2,011.49	Professional		$1,055.13	$1,133.98	$2,011.49
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,791.64 / $4,985.06	Facility		$97.00	$2,791.64	$4,985.06
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,128.64 / $7,287.66	Professional		$100.00	$3,128.64	$7,287.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,102.86 / $1,399.15 / $1,399.15	Facility		$1,102.86	$1,399.15	$1,399.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,021.38 / $1,441.12	Professional		$1,021.38	$1,021.38	$1,441.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $811.44 / $973.73 / $2,593.78	Professional		$811.44	$973.73	$2,593.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,414.79 / $1,650.59 / $3,584.13	Professional		$1,414.79	$1,650.59	$3,584.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,390.67 / $11,200.41 / $11,200.41	Facility		$4,390.67	$11,200.41	$11,200.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,333.02 / $12,333.02 / $18,743.33	Professional		$12,333.02	$12,333.02	$18,743.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,283.70 / $4,283.70 / $4,283.70	Professional		$4,283.70	$4,283.70	$4,283.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.69 / $2,048.19 / $2,357.98	Facility		$623.69	$2,048.19	$2,357.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,021.38 / $1,399.15 / $2,028.94	Professional		$1,021.38	$1,399.15	$2,028.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,450.60 / $4,450.60 / $4,450.60	Professional		$4,450.60	$4,450.60	$4,450.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $811.44 / $1,379.45 / $1,886.38	Professional		$811.44	$1,379.45	$1,886.38
United Facility/Professional Professional Modifier Low / Median / High Price $893.22 / $1,046.58 / $2,509.98	Professional		$893.22	$1,046.58	$2,509.98