Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.30 / $1,033.30 / $6,618.47	Facility		$1,033.30	$1,033.30	$6,618.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.84 / $1,033.30 / $6,618.47	Professional		$896.84	$1,033.30	$6,618.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $784.66 / $3,232.56 / $7,281.53	Facility		$784.66	$3,232.56	$7,281.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $914.47 / $1,047.83 / $1,743.33	Professional		$914.47	$1,047.83	$1,743.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,715.77 / $4,849.60	Facility		$97.00	$2,715.77	$4,849.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,043.62 / $7,089.60	Professional		$100.00	$3,043.62	$7,089.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,072.90 / $1,212.63 / $1,226.18	Facility		$1,072.90	$1,212.63	$1,226.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $885.22 / $1,249.01	Professional		$885.22	$885.22	$1,249.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $1,020.94 / $2,523.29	Professional		$850.78	$1,020.94	$2,523.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,376.34 / $1,605.73 / $3,486.73	Professional		$1,376.34	$1,605.73	$3,486.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,805.34 / $9,141.02 / $10,896.03	Facility		$3,805.34	$9,141.02	$10,896.03
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,504.73 / $13,828.86 / $13,828.86	Professional		$13,504.73	$13,828.86	$13,828.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,961.58 / $3,961.58 / $3,961.58	Professional		$3,961.58	$3,961.58	$3,961.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $1,932.48 / $2,327.23	Facility		$554.10	$1,932.48	$2,327.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $885.22 / $1,212.63 / $1,806.95	Professional		$885.22	$1,212.63	$1,806.95
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,329.66 / $4,329.66 / $4,329.66	Professional		$4,329.66	$4,329.66	$4,329.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $850.78 / $1,446.33 / $1,835.12	Professional		$850.78	$1,446.33	$1,835.12
United Facility/Professional Professional Modifier Low / Median / High Price $793.57 / $858.30 / $2,179.33	Professional		$793.57	$858.30	$2,179.33