Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.74 / $1,095.74 / $7,018.39	Facility		$1,095.74	$1,095.74	$7,018.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.18 / $1,095.74 / $7,018.39	Professional		$855.18	$1,095.74	$7,018.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $832.08 / $3,427.91 / $7,721.55	Facility		$832.08	$3,427.91	$7,721.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.44 / $1,114.58 / $2,262.23	Professional		$1,109.44	$1,114.58	$2,262.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,879.89 / $5,142.67	Facility		$97.00	$2,879.89	$5,142.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,227.54 / $7,518.02	Professional		$100.00	$3,227.54	$7,518.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.74 / $1,573.58 / $1,573.58	Facility		$1,137.74	$1,573.58	$1,573.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,148.71 / $1,620.79	Professional		$1,148.71	$1,148.71	$1,620.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $753.10 / $903.72 / $2,675.77	Professional		$753.10	$903.72	$2,675.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,459.51 / $1,702.76 / $3,697.43	Professional		$1,459.51	$1,702.76	$3,697.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,938.02 / $11,554.47 / $11,554.47	Facility		$4,938.02	$11,554.47	$11,554.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,676.10 / $11,676.10 / $13,682.93	Professional		$11,676.10	$11,676.10	$13,682.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,493.84 / $4,493.84 / $4,493.84	Professional		$4,493.84	$4,493.84	$4,493.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $587.59 / $2,094.42 / $2,432.52	Facility		$587.59	$2,094.42	$2,432.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,148.71 / $1,573.58 / $1,893.26	Professional		$1,148.71	$1,573.58	$1,893.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,591.27 / $4,591.27 / $4,591.27	Professional		$4,591.27	$4,591.27	$4,591.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $753.10 / $1,280.27 / $1,946.02	Professional		$753.10	$1,280.27	$1,946.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,261.08 / $1,261.08 / $1,261.08	Facility		$1,261.08	$1,261.08	$1,261.08
United Facility/Professional Professional Modifier Low / Median / High Price $856.74 / $1,068.98 / $2,311.01	Professional		$856.74	$1,068.98	$2,311.01