Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.25 / $1,160.25 / $6,994.72	Facility		$1,160.25	$1,160.25	$6,994.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $955.26 / $1,160.25 / $6,994.72	Professional		$955.26	$1,160.25	$6,994.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $881.06 / $3,439.48 / $7,695.46	Facility		$881.06	$3,439.48	$7,695.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.40 / $1,148.64 / $1,796.57	Professional		$942.40	$1,148.64	$1,796.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,870.14 / $5,125.26	Facility		$97.00	$2,870.14	$5,125.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,216.64 / $7,492.65	Professional		$100.00	$3,216.64	$7,492.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,133.11 / $1,207.09 / $1,295.86	Facility		$1,133.11	$1,207.09	$1,295.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $881.18 / $1,243.31	Professional		$881.18	$881.18	$1,243.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $991.29 / $1,189.55 / $2,666.73	Professional		$991.29	$1,189.55	$2,666.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,454.58 / $1,697.01 / $3,684.94	Professional		$1,454.58	$1,697.01	$3,684.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,921.55 / $11,515.43 / $11,515.43	Facility		$3,921.55	$11,515.43	$11,515.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,749.91 / $12,749.91 / $17,455.13	Professional		$12,749.91	$12,749.91	$17,455.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,960.19 / $3,960.19 / $3,960.19	Professional		$3,960.19	$3,960.19	$3,960.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.17 / $2,095.15 / $2,451.62	Facility		$622.17	$2,095.15	$2,451.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $881.18 / $1,207.09 / $2,350.13	Professional		$881.18	$1,207.09	$2,350.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,575.79 / $4,575.79 / $4,575.79	Professional		$4,575.79	$4,575.79	$4,575.79
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $991.29 / $1,685.19 / $1,939.44	Professional		$991.29	$1,685.19	$1,939.44
United Facility/Professional Professional Modifier Low / Median / High Price $875.08 / $963.76 / $2,445.94	Professional		$875.08	$963.76	$2,445.94