Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.27 / $1,071.27 / $6,826.77	Facility		$1,071.27	$1,071.27	$6,826.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.78 / $1,071.27 / $6,826.77	Professional		$827.78	$1,071.27	$6,826.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $813.50 / $3,334.31 / $7,510.71	Facility		$813.50	$3,334.31	$7,510.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,052.40 / $1,086.33 / $2,006.29	Professional		$1,052.40	$1,086.33	$2,006.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,801.24 / $5,002.22	Facility		$97.00	$2,801.24	$5,002.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,139.41 / $7,312.73	Professional		$100.00	$3,139.41	$7,312.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.68 / $1,395.53 / $1,395.53	Facility		$1,106.68	$1,395.53	$1,395.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,500.88	Professional		$1,018.74	$1,018.74	$2,500.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $565.86 / $679.03 / $2,602.71	Professional		$565.86	$679.03	$2,602.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,419.66 / $1,656.27 / $3,596.47	Professional		$1,419.66	$1,656.27	$3,596.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,379.32 / $11,238.98 / $11,238.98	Facility		$4,379.32	$11,238.98	$11,238.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,357.28 / $11,357.28 / $13,769.33	Professional		$11,357.28	$11,357.28	$13,769.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,656.52 / $3,656.52 / $3,656.52	Professional		$3,656.52	$3,656.52	$3,656.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $574.47 / $1,927.71 / $2,366.10	Facility		$574.47	$1,927.71	$2,366.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,018.74 / $1,018.74 / $2,011.19	Professional		$1,018.74	$1,018.74	$2,011.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,465.92 / $4,465.92 / $4,465.92	Professional		$4,465.92	$4,465.92	$4,465.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $565.86 / $961.96 / $1,892.88	Professional		$565.86	$961.96	$1,892.88
United Facility/Professional Professional Modifier Low / Median / High Price $822.74 / $889.85 / $2,149.94	Professional		$822.74	$889.85	$2,149.94