Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,255.38 / $1,255.38 / $7,210.49	Facility		$1,255.38	$1,255.38	$7,210.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,019.29 / $1,255.38 / $6,978.98	Professional		$1,019.29	$1,255.38	$6,978.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $953.30 / $3,607.20 / $7,932.89	Facility		$953.30	$3,607.20	$7,932.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,089.70 / $1,258.95 / $2,077.39	Professional		$1,089.70	$1,258.95	$2,077.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,958.71 / $5,283.41	Facility		$97.00	$2,958.71	$5,283.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,315.88 / $7,723.80	Professional		$100.00	$3,315.88	$7,723.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.89 / $1,306.07 / $1,335.87	Facility		$1,168.89	$1,306.07	$1,335.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $1,392.34	Professional		$953.43	$953.43	$1,392.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $943.12 / $1,131.74 / $2,749.01	Professional		$943.12	$1,131.74	$2,749.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,499.46 / $1,749.37 / $3,798.63	Professional		$1,499.46	$1,749.37	$3,798.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,534.51 / $11,870.73 / $11,870.73	Facility		$4,534.51	$11,870.73	$11,870.73
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,377.22 / $13,377.22 / $20,901.90	Professional		$13,377.22	$13,377.22	$20,901.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,595.42 / $6,595.42 / $6,595.42	Professional		$6,595.42	$6,595.42	$6,595.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $673.20 / $2,170.79 / $2,532.88	Facility		$673.20	$2,170.79	$2,532.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $2,499.10	Professional		$953.43	$1,306.07	$2,499.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,716.93 / $4,716.93 / $4,716.93	Professional		$4,716.93	$4,716.93	$4,716.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $943.12 / $1,603.30 / $1,999.28	Professional		$943.12	$1,603.30	$1,999.28
United Facility/Professional Professional Modifier Low / Median / High Price $946.83 / $1,042.77 / $2,270.78	Professional		$946.83	$1,042.77	$2,270.78