Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.10 / $1,245.10 / $7,975.21	Facility		$1,245.10	$1,245.10	$7,975.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $927.41 / $1,245.10 / $7,975.21	Professional		$927.41	$1,245.10	$7,975.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.51 / $3,895.23 / $8,774.20	Facility		$945.51	$3,895.23	$8,774.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,255.03 / $1,282.47 / $2,329.69	Professional		$1,255.03	$1,282.47	$2,329.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,272.50 / $5,843.75	Facility		$97.00	$3,272.50	$5,843.75
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,667.54 / $8,542.91	Professional		$100.00	$3,667.54	$8,542.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,292.83 / $1,295.39 / $1,477.54	Facility		$1,292.83	$1,295.39	$1,477.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $945.63 / $1,380.95	Professional		$945.63	$945.63	$1,380.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,105.22 / $1,326.26 / $3,040.55	Professional		$1,105.22	$1,326.26	$3,040.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,658.48 / $1,934.90 / $4,201.49	Professional		$1,658.48	$1,934.90	$4,201.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,085.25 / $13,129.67 / $13,129.67	Facility		$5,085.25	$13,129.67	$13,129.67
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,267.87 / $13,390.97 / $15,548.25	Professional		$13,267.87	$13,390.97	$15,548.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,875.55 / $4,875.55 / $4,875.55	Professional		$4,875.55	$4,875.55	$4,875.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $667.69 / $2,378.32 / $2,764.14	Facility		$667.69	$2,378.32	$2,764.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $945.63 / $1,295.39 / $2,349.52	Professional		$945.63	$1,295.39	$2,349.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,217.20 / $5,217.20 / $5,217.20	Professional		$5,217.20	$5,217.20	$5,217.20
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,105.22 / $1,878.87 / $2,211.31	Professional		$1,105.22	$1,878.87	$2,211.31
United Facility/Professional Professional Modifier Low / Median / High Price $984.19 / $1,187.01 / $2,788.79	Professional		$984.19	$1,187.01	$2,788.79