Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.65 / $1,036.65 / $6,635.89	Facility		$1,036.65	$1,036.65	$6,635.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $906.90 / $1,036.65 / $6,635.89	Professional		$906.90	$1,036.65	$6,635.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $787.21 / $3,241.08 / $7,300.70	Facility		$787.21	$3,241.08	$7,300.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.72 / $1,054.47 / $1,772.22	Professional		$954.72	$1,054.47	$1,772.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,722.92 / $4,862.35	Facility		$97.00	$2,722.92	$4,862.35
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,051.63 / $7,108.26	Professional		$100.00	$3,051.63	$7,108.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,075.72 / $1,232.72 / $1,232.72	Facility		$1,075.72	$1,232.72	$1,232.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $899.89 / $1,269.70	Professional		$899.89	$899.89	$1,269.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $829.01 / $994.81 / $2,529.92	Professional		$829.01	$994.81	$2,529.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,379.96 / $1,609.96 / $3,495.91	Professional		$1,379.96	$1,609.96	$3,495.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,868.39 / $10,924.72 / $10,924.72	Facility		$3,868.39	$10,924.72	$10,924.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,391.63 / $11,391.63 / $15,815.55	Professional		$11,391.63	$11,391.63	$15,815.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,717.74 / $4,717.74 / $4,717.74	Professional		$4,717.74	$4,717.74	$4,717.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.90 / $1,954.95 / $2,301.34	Facility		$555.90	$1,954.95	$2,301.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $899.89 / $1,232.72 / $1,685.55	Professional		$899.89	$1,232.72	$1,685.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,341.05 / $4,341.05 / $4,341.05	Professional		$4,341.05	$4,341.05	$4,341.05
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $829.01 / $1,409.32 / $1,839.95	Professional		$829.01	$1,409.32	$1,839.95
United Facility/Professional Professional Modifier Low / Median / High Price $819.41 / $1,011.33 / $2,320.46	Professional		$819.41	$1,011.33	$2,320.46