Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,088.08 / $1,088.08 / $6,678.71	Facility		$1,088.08	$1,088.08	$6,678.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $951.85 / $1,088.08 / $6,678.71	Professional		$951.85	$1,088.08	$6,678.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $826.27 / $3,261.99 / $7,347.81	Facility		$826.27	$3,261.99	$7,347.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,044.88 / $1,106.79 / $1,939.57	Professional		$1,044.88	$1,106.79	$1,939.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,740.48 / $4,893.71	Facility		$97.00	$2,740.48	$4,893.71
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,071.33 / $7,154.15	Professional		$100.00	$3,071.33	$7,154.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,082.66 / $1,349.13 / $1,349.13	Facility		$1,082.66	$1,349.13	$1,349.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $2,417.63	Professional		$984.86	$984.86	$2,417.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $726.20 / $871.44 / $2,546.26	Professional		$726.20	$871.44	$2,546.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,388.87 / $1,620.35 / $3,518.47	Professional		$1,388.87	$1,620.35	$3,518.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,233.68 / $10,995.21 / $10,995.21	Facility		$4,233.68	$10,995.21	$10,995.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,956.97 / $11,956.97 / $16,922.70	Professional		$11,956.97	$11,956.97	$16,922.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,951.87 / $4,951.87 / $4,951.87	Professional		$4,951.87	$4,951.87	$4,951.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $1,970.34 / $2,415.55	Facility		$583.49	$1,970.34	$2,415.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $984.86 / $984.86 / $2,040.71	Professional		$984.86	$984.86	$2,040.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,369.06 / $4,369.06 / $4,369.06	Professional		$4,369.06	$4,369.06	$4,369.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $726.20 / $1,234.54 / $1,851.82	Professional		$726.20	$1,234.54	$1,851.82
United Facility/Professional Professional Modifier Low / Median / High Price $850.76 / $1,061.52 / $2,239.77	Professional		$850.76	$1,061.52	$2,239.77