Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,049.50 / $1,049.50 / $6,092.11	Facility		$1,049.50	$1,049.50	$6,092.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $896.52 / $1,049.50 / $6,092.11	Professional		$896.52	$1,049.50	$6,092.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $796.96 / $3,047.70 / $6,702.44	Facility		$796.96	$3,047.70	$6,702.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,062.60 / $1,062.60 / $1,977.09	Professional		$1,062.60	$1,062.60	$1,977.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,499.79 / $4,463.91	Facility		$97.00	$2,499.79	$4,463.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,801.56 / $6,525.78	Professional		$100.00	$2,801.56	$6,525.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.58 / $1,375.24 / $1,375.24	Facility		$987.58	$1,375.24	$1,375.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,003.93 / $1,416.50	Professional		$1,003.93	$1,003.93	$1,416.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $785.76 / $942.91 / $2,322.62	Professional		$785.76	$942.91	$2,322.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,266.88 / $1,478.03 / $3,209.43	Professional		$1,266.88	$1,478.03	$3,209.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,315.58 / $10,029.48 / $10,029.48	Facility		$4,315.58	$10,029.48	$10,029.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,136.07 / $10,136.07 / $13,105.50	Professional		$10,136.07	$10,136.07	$13,105.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,197.76 / $4,197.76 / $4,197.76	Professional		$4,197.76	$4,197.76	$4,197.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $562.79 / $1,797.24 / $2,140.02	Facility		$562.79	$1,797.24	$2,140.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,003.93 / $1,375.24 / $1,802.21	Professional		$1,003.93	$1,375.24	$1,802.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,985.32 / $3,985.32 / $3,985.32	Professional		$3,985.32	$3,985.32	$3,985.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $785.76 / $1,335.79 / $1,689.18	Professional		$785.76	$1,335.79	$1,689.18
United Facility/Professional Professional Modifier Low / Median / High Price $820.58 / $1,021.57 / $2,130.31	Professional		$820.58	$1,021.57	$2,130.31