Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,159.95 / $1,159.95 / $5,572.30	Facility		$1,159.95	$1,159.95	$5,572.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $918.93 / $1,159.95 / $5,572.30	Professional		$918.93	$1,159.95	$5,572.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $880.84 / $2,960.70 / $6,130.56	Facility		$880.84	$2,960.70	$6,130.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.45 / $1,176.26 / $2,394.82	Professional		$1,174.45	$1,176.26	$2,394.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,286.50 / $4,083.03	Facility		$97.00	$2,286.50	$4,083.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,562.52 / $5,968.97	Professional		$100.00	$2,562.52	$5,968.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $902.70 / $1,206.80 / $1,206.80	Facility		$902.70	$1,206.80	$1,206.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $880.96 / $1,243.00	Professional		$880.96	$880.96	$1,243.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $874.72 / $1,049.66 / $2,124.44	Professional		$874.72	$1,049.66	$2,124.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.79 / $1,351.92 / $2,935.59	Professional		$1,158.79	$1,351.92	$2,935.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,227.41 / $10,300.32 / $10,300.32	Facility		$5,227.41	$10,300.32	$10,300.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,823.90 / $12,823.90 / $17,622.59	Professional		$12,823.90	$12,823.90	$17,622.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,959.18 / $3,959.18 / $3,959.18	Professional		$3,959.18	$3,959.18	$3,959.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.02 / $1,707.45 / $1,957.42	Facility		$622.02	$1,707.45	$1,957.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $880.96 / $1,206.80 / $1,838.25	Professional		$880.96	$1,206.80	$1,838.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,645.27 / $3,645.27 / $3,645.27	Professional		$3,645.27	$3,645.27	$3,645.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $874.72 / $1,487.02 / $1,545.05	Professional		$874.72	$1,487.02	$1,545.05
United Facility/Professional Professional Modifier Low / Median / High Price $890.84 / $965.08 / $2,575.08	Professional		$890.84	$965.08	$2,575.08