Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,121.99 / $1,121.99 / $5,389.95	Facility		$1,121.99	$1,121.99	$5,389.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.70 / $1,121.99 / $5,389.95	Professional		$835.70	$1,121.99	$5,389.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.02 / $2,863.80 / $5,929.91	Facility		$852.02	$2,863.80	$5,929.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,131.33 / $1,131.33 / $2,249.07	Professional		$1,131.33	$1,131.33	$2,249.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,211.67 / $3,949.41	Facility		$97.00	$2,211.67	$3,949.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,478.66 / $5,773.62	Professional		$100.00	$2,478.66	$5,773.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $873.75 / $1,167.30 / $1,167.30	Facility		$873.75	$1,167.30	$1,167.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $852.13 / $1,244.40	Professional		$852.13	$852.13	$1,244.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $690.03 / $828.04 / $2,054.91	Professional		$690.03	$828.04	$2,054.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,120.85 / $1,307.67 / $2,839.51	Professional		$1,120.85	$1,307.67	$2,839.51
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,909.27 / $9,963.20 / $9,963.20	Facility		$4,909.27	$9,963.20	$9,963.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,404.18 / $12,404.18 / $14,010.75	Professional		$12,404.18	$12,404.18	$14,010.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,118.88 / $4,118.88 / $4,118.88	Professional		$4,118.88	$4,118.88	$4,118.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $601.66 / $1,681.29 / $1,961.51	Facility		$601.66	$1,681.29	$1,961.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $852.13 / $1,167.30 / $1,956.72	Professional		$852.13	$1,167.30	$1,956.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,525.99 / $3,525.99 / $3,525.99	Professional		$3,525.99	$3,525.99	$3,525.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $690.03 / $1,173.05 / $1,494.48	Professional		$690.03	$1,173.05	$1,494.48
United Facility/Professional Professional Modifier Low / Median / High Price $877.27 / $948.32 / $1,904.66	Professional		$877.27	$948.32	$1,904.66