Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,222.46 / $1,222.46 / $7,830.09	Facility		$1,222.46	$1,222.46	$7,830.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $990.74 / $1,222.46 / $7,830.09	Professional		$990.74	$1,222.46	$7,830.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $928.31 / $3,824.34 / $8,614.54	Facility		$928.31	$3,824.34	$8,614.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,169.95 / $1,243.47 / $2,171.77	Professional		$1,169.95	$1,243.47	$2,171.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,212.93 / $5,737.38	Facility		$97.00	$3,212.93	$5,737.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,600.80 / $8,387.48	Professional		$100.00	$3,600.80	$8,387.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.32 / $1,271.83 / $1,450.65	Facility		$1,269.32	$1,271.83	$1,450.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $928.44 / $1,309.98	Professional		$928.44	$928.44	$1,309.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.22 / $1,452.26 / $2,985.22	Professional		$1,210.22	$1,452.26	$2,985.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,628.30 / $1,899.69 / $4,125.04	Professional		$1,628.30	$1,899.69	$4,125.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,529.24 / $11,043.30 / $12,890.74	Facility		$4,529.24	$11,043.30	$12,890.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,318.42 / $14,662.04 / $17,074.58	Professional		$14,318.42	$14,662.04	$17,074.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,885.12 / $4,885.12 / $4,885.12	Professional		$4,885.12	$4,885.12	$4,885.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $655.54 / $2,357.30 / $2,753.27	Facility		$655.54	$2,357.30	$2,753.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $928.44 / $1,271.83 / $2,368.08	Professional		$928.44	$1,271.83	$2,368.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,122.27 / $5,122.27 / $5,122.27	Professional		$5,122.27	$5,122.27	$5,122.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,210.22 / $2,057.37 / $2,171.07	Professional		$1,210.22	$2,057.37	$2,171.07
United Facility/Professional Professional Modifier Low / Median / High Price $966.28 / $1,188.84 / $2,465.91	Professional		$966.28	$1,188.84	$2,465.91