Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,107.78 / $1,107.78 / $5,814.44	Facility		$1,107.78	$1,107.78	$5,814.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.51 / $1,107.78 / $5,814.44	Professional		$880.51	$1,107.78	$5,814.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.22 / $3,057.41 / $6,396.94	Facility		$841.22	$3,057.41	$6,396.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,007.23 / $1,123.35 / $1,920.18	Professional		$1,007.23	$1,123.35	$1,920.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,385.85 / $4,260.43	Facility		$97.00	$2,385.85	$4,260.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,673.87 / $6,228.34	Professional		$100.00	$2,673.87	$6,228.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.63 / $1,335.63 / $1,600.92	Facility		$1,335.63	$1,335.63	$1,600.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $975.01 / $1,375.70	Professional		$975.01	$975.01	$1,375.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,077.21 / $1,292.65 / $2,216.75	Professional		$1,077.21	$1,292.65	$2,216.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,209.14 / $1,410.66 / $3,063.15	Professional		$1,209.14	$1,410.66	$3,063.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,468.71 / $9,614.69 / $9,614.69	Facility		$3,468.71	$9,614.69	$9,614.69
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,394.85 / $10,394.85 / $15,114.23	Professional		$10,394.85	$10,394.85	$15,114.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,255.18 / $4,255.18 / $4,255.18	Professional		$4,255.18	$4,255.18	$4,255.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $594.04 / $1,817.34 / $2,075.69	Facility		$594.04	$1,817.34	$2,075.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $975.01 / $1,335.63 / $1,918.13	Professional		$975.01	$1,335.63	$1,918.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,803.68 / $3,803.68 / $3,803.68	Professional		$3,803.68	$3,803.68	$3,803.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,077.21 / $1,612.18 / $1,615.82	Professional		$1,077.21	$1,612.18	$1,615.82
United Facility/Professional Professional Modifier Low / Median / High Price $835.51 / $920.18 / $1,983.28	Professional		$835.51	$920.18	$1,983.28