Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,127.00 / $1,127.00 / $7,218.64	Facility		$1,127.00	$1,127.00	$7,218.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.83 / $1,127.00 / $7,218.64	Professional		$870.83	$1,127.00	$7,218.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.82 / $3,525.72 / $7,941.88	Facility		$855.82	$3,525.72	$7,941.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $974.71 / $1,130.53 / $1,858.20	Professional		$974.71	$1,130.53	$1,858.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,962.05 / $5,289.38	Facility		$97.00	$2,962.05	$5,289.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,319.63 / $7,732.51	Professional		$100.00	$3,319.63	$7,732.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,170.20 / $1,172.51 / $1,337.38	Facility		$1,170.20	$1,172.51	$1,337.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $855.93 / $1,207.69	Professional		$855.93	$855.93	$1,207.69
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $943.12 / $1,131.74 / $2,752.12	Professional		$943.12	$1,131.74	$2,752.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,501.16 / $1,751.35 / $3,802.93	Professional		$1,501.16	$1,751.35	$3,802.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,056.06 / $11,884.17 / $11,884.17	Facility		$4,056.06	$11,884.17	$11,884.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,009.26 / $12,009.26 / $18,494.84	Professional		$12,009.26	$12,009.26	$18,494.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,846.70 / $3,846.70 / $3,846.70	Professional		$3,846.70	$3,846.70	$3,846.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.35 / $2,092.32 / $2,501.92	Facility		$604.35	$2,092.32	$2,501.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $855.93 / $1,172.51 / $2,126.64	Professional		$855.93	$1,172.51	$2,126.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,722.28 / $4,722.28 / $4,722.28	Professional		$4,722.28	$4,722.28	$4,722.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $943.12 / $1,603.30 / $2,001.54	Professional		$943.12	$1,603.30	$2,001.54
United Facility/Professional Professional Modifier Low / Median / High Price $890.83 / $1,068.03 / $3,347.41	Professional		$890.83	$1,068.03	$3,347.41