Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,092.98 / $1,092.98 / $5,736.71	Facility		$1,092.98	$1,092.98	$5,736.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.43 / $1,092.98 / $5,736.71	Professional		$874.43	$1,092.98	$5,736.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $829.99 / $3,016.60 / $6,311.43	Facility		$829.99	$3,016.60	$6,311.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,020.61 / $1,111.77 / $1,894.54	Professional		$1,020.61	$1,111.77	$1,894.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $2,353.94 / $4,203.49	Facility		$98.20	$2,353.94	$4,203.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,638.13 / $6,145.10	Professional		$100.00	$2,638.13	$6,145.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.96 / $1,317.79 / $1,317.79	Facility		$929.96	$1,317.79	$1,317.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $961.99 / $1,357.32	Professional		$961.99	$961.99	$1,357.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,062.81 / $1,275.36 / $2,187.12	Professional		$1,062.81	$1,275.36	$2,187.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,192.97 / $1,391.80 / $3,022.20	Professional		$1,192.97	$1,391.80	$3,022.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,135.39 / $9,502.08 / $9,502.08	Facility		$4,135.39	$9,502.08	$9,502.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,479.07 / $14,912.18 / $15,058.23	Professional		$14,479.07	$14,912.18	$15,058.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,198.27 / $4,198.27 / $4,198.27	Professional		$4,198.27	$4,198.27	$4,198.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $586.11 / $1,741.02 / $2,047.94	Facility		$586.11	$1,741.02	$2,047.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.99 / $1,317.79 / $1,892.49	Professional		$961.99	$1,317.79	$1,892.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,752.83 / $3,752.83 / $3,752.83	Professional		$3,752.83	$3,752.83	$3,752.83
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,062.81 / $1,590.63 / $1,594.22	Professional		$1,062.81	$1,590.63	$1,594.22
United Facility/Professional Professional Modifier Low / Median / High Price $854.59 / $983.09 / $1,923.86	Professional		$854.59	$983.09	$1,923.86