Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,133.61 / $1,133.61 / $5,445.82	Facility		$1,133.61	$1,133.61	$5,445.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.20 / $1,133.61 / $5,445.82	Professional		$934.20	$1,133.61	$5,445.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $860.84 / $2,893.51 / $5,991.43	Facility		$860.84	$2,893.51	$5,991.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.77 / $1,137.16 / $1,889.98	Professional		$920.77	$1,137.16	$1,889.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,234.60 / $3,990.36	Facility		$97.00	$2,234.60	$3,990.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,504.36 / $5,833.49	Professional		$100.00	$2,504.36	$5,833.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $882.21 / $1,179.41 / $1,179.41	Facility		$882.21	$1,179.41	$1,179.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $860.97 / $1,214.79	Professional		$860.97	$860.97	$1,214.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $666.32 / $799.58 / $2,076.23	Professional		$666.32	$799.58	$2,076.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,132.49 / $1,321.24 / $2,868.97	Professional		$1,132.49	$1,321.24	$2,868.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,831.58 / $10,066.52 / $10,066.52	Facility		$3,831.58	$10,066.52	$10,066.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,532.82 / $12,532.82 / $18,195.68	Professional		$12,532.82	$12,532.82	$18,195.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,869.33 / $3,869.33 / $3,869.33	Professional		$3,869.33	$3,869.33	$3,869.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $607.91 / $1,668.70 / $1,981.85	Facility		$607.91	$1,668.70	$1,981.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $860.97 / $1,179.40 / $2,203.66	Professional		$860.97	$1,179.40	$2,203.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,562.53 / $3,562.53 / $3,562.53	Professional		$3,562.53	$3,562.53	$3,562.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $666.32 / $1,132.74 / $1,509.98	Professional		$666.32	$1,132.74	$1,509.98
United Facility/Professional Professional Modifier Low / Median / High Price $855.00 / $941.64 / $1,836.98	Professional		$855.00	$941.64	$1,836.98