Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.04 / $1,064.04 / $6,202.52	Facility		$1,064.04	$1,064.04	$6,202.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $822.18 / $1,064.04 / $6,202.52	Professional		$822.18	$1,064.04	$6,202.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $808.01 / $3,102.92 / $6,823.89	Facility		$808.01	$3,102.92	$6,823.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,077.33 / $1,079.00 / $2,165.01	Professional		$1,077.33	$1,079.00	$2,165.01
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,545.10 / $4,544.82	Facility		$97.00	$2,545.10	$4,544.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,852.33 / $6,644.04	Professional		$100.00	$2,852.33	$6,644.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,004.79 / $1,107.01 / $1,149.11	Facility		$1,004.79	$1,107.01	$1,149.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $808.12 / $1,619.01	Professional		$808.12	$808.12	$1,619.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $815.48 / $978.58 / $2,364.69	Professional		$815.48	$978.58	$2,364.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,289.83 / $1,504.81 / $3,267.59	Professional		$1,289.83	$1,504.81	$3,267.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,725.78 / $10,211.21 / $10,211.21	Facility		$4,725.78	$10,211.21	$10,211.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,304.00 / $11,304.00 / $14,700.08	Professional		$11,304.00	$11,304.00	$14,700.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,631.82 / $3,631.82 / $3,631.82	Professional		$3,631.82	$3,631.82	$3,631.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.59 / $1,771.62 / $2,178.81	Facility		$570.59	$1,771.62	$2,178.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $808.12 / $1,107.01 / $1,827.27	Professional		$808.12	$1,107.01	$1,827.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,057.55 / $4,057.55 / $4,057.55	Professional		$4,057.55	$4,057.55	$4,057.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $815.48 / $1,386.32 / $1,719.78	Professional		$815.48	$1,386.32	$1,719.78
United Facility/Professional Professional Modifier Low / Median / High Price $817.18 / $883.84 / $2,149.73	Professional		$817.18	$883.84	$2,149.73