Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.82 / $1,253.82 / $8,030.97	Facility		$1,253.82	$1,253.82	$8,030.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,073.75 / $1,253.82 / $8,030.97	Professional		$1,073.75	$1,253.82	$8,030.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $952.13 / $3,922.45 / $8,835.54	Facility		$952.13	$3,922.45	$8,835.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,254.67 / $1,275.38 / $2,328.98	Professional		$1,254.67	$1,275.38	$2,328.98
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,295.37 / $5,884.59	Facility		$97.00	$3,295.37	$5,884.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,693.18 / $8,602.67	Professional		$100.00	$3,693.18	$8,602.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,301.89 / $1,620.00 / $1,620.00	Facility		$1,301.89	$1,620.00	$1,620.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,182.59 / $1,668.60	Professional		$1,182.59	$1,182.59	$1,668.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $701.90 / $842.28 / $3,061.81	Professional		$701.90	$842.28	$3,061.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,670.08 / $1,948.42 / $4,230.85	Professional		$1,670.08	$1,948.42	$4,230.85
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,083.71 / $13,221.44 / $13,221.44	Facility		$5,083.71	$13,221.44	$13,221.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,778.13 / $13,778.13 / $15,657.00	Professional		$13,778.13	$13,778.13	$15,657.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,706.09 / $5,706.09 / $5,706.09	Professional		$5,706.09	$5,706.09	$5,706.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.36 / $2,365.94 / $2,783.46	Facility		$672.36	$2,365.94	$2,783.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $1,620.00 / $2,102.05	Professional		$1,182.59	$1,620.00	$2,102.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,253.68 / $5,253.68 / $5,253.68	Professional		$5,253.68	$5,253.68	$5,253.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $701.90 / $1,193.23 / $2,226.77	Professional		$701.90	$1,193.23	$2,226.77
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.94 / $2,783.46 / $2,783.46	Facility		$2,365.94	$2,783.46	$2,783.46
United Facility/Professional Professional Modifier Low / Median / High Price $991.07 / $1,253.82 / $2,808.29	Professional		$991.07	$1,253.82	$2,808.29