Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,167.04 / $1,167.04 / $6,125.35	Facility		$1,167.04	$1,167.04	$6,125.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.59 / $1,167.04 / $6,125.35	Professional		$927.59	$1,167.04	$6,125.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $886.25 / $3,221.08 / $6,739.04	Facility		$886.25	$3,221.08	$6,739.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,061.08 / $1,181.67 / $2,022.87	Professional		$1,061.08	$1,181.67	$2,022.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $2,513.42 / $4,488.27	Facility		$98.20	$2,513.42	$4,488.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,816.86 / $6,561.39	Professional		$100.00	$2,816.86	$6,561.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,540.39 / $1,540.39 / $1,686.53	Facility		$1,540.39	$1,540.39	$1,686.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,124.48 / $1,586.60	Professional		$1,124.48	$1,124.48	$1,586.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,134.82 / $1,361.78 / $2,335.30	Professional		$1,134.82	$1,361.78	$2,335.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,273.80 / $1,486.10 / $3,226.96	Professional		$1,273.80	$1,486.10	$3,226.96
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,654.22 / $10,128.96 / $10,128.96	Facility		$3,654.22	$10,128.96	$10,128.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,951.02 / $10,951.02 / $15,922.50	Professional		$10,951.02	$10,951.02	$15,922.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,482.87 / $4,482.87 / $4,482.87	Professional		$4,482.87	$4,482.87	$4,482.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.83 / $1,914.54 / $2,186.77	Facility		$625.83	$1,914.54	$2,186.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,124.48 / $1,540.39 / $2,020.70	Professional		$1,124.48	$1,540.39	$2,020.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,007.07 / $4,007.07 / $4,007.07	Professional		$4,007.07	$4,007.07	$4,007.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,134.82 / $1,698.40 / $1,702.23	Professional		$1,134.82	$1,698.40	$1,702.23
United Facility/Professional Professional Modifier Low / Median / High Price $880.20 / $969.40 / $2,066.19	Professional		$880.20	$969.40	$2,066.19