Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $9,772.37	Facility		$1,258.93	$1,258.93	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $8,709.64	Professional		$1,000.00	$1,258.93	$8,709.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,202.26 / $5,128.61	Facility		$954.99	$1,202.26	$5,128.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $2,818.38	Professional		$1,230.27	$1,288.25	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,981.07 / $5,370.32	Facility		$100.00	$3,981.07	$5,370.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,265.80 / $7,244.36	Professional		$2,187.76	$4,265.80	$7,244.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $1,288.25	Facility		$1,071.52	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,288.25	Professional		$954.99	$954.99	$1,288.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,754.23	Professional		$977.24	$1,230.27	$2,754.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,630.78	Professional		$1,380.38	$2,089.30	$3,630.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $16,982.44 / $16,982.44	Professional		$11,748.98	$16,982.44	$16,982.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $2,884.03	Facility		$776.25	$2,089.30	$2,884.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $2,238.72	Professional		$954.99	$954.99	$2,238.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $2,089.30	Professional		$977.24	$1,479.11	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,023.29 / $2,818.38	Facility		$169.82	$1,023.29	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $2,290.87	Professional		$954.99	$1,122.02	$2,290.87