Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.57 / $1,227.57 / $5,897.13	Facility		$1,227.57	$1,227.57	$5,897.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $894.85 / $1,227.57 / $5,897.13	Professional		$894.85	$1,227.57	$5,897.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $932.18 / $3,133.28 / $6,487.92	Facility		$932.18	$3,133.28	$6,487.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,059.34 / $1,242.91 / $1,966.45	Professional		$1,059.34	$1,242.91	$1,966.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $2,419.79 / $4,321.05	Facility		$98.20	$2,419.79	$4,321.05
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,711.90 / $6,316.93	Professional		$100.00	$2,711.90	$6,316.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $955.97 / $1,367.82 / $1,367.82	Facility		$955.97	$1,367.82	$1,367.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $998.51 / $1,458.16	Professional		$998.51	$998.51	$1,458.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $683.69 / $820.43 / $2,248.28	Professional		$683.69	$820.43	$2,248.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,226.33 / $1,430.72 / $3,106.71	Professional		$1,226.33	$1,430.72	$3,106.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,087.79 / $10,228.89 / $10,228.89	Facility		$4,087.79	$10,228.89	$10,228.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,164.54 / $12,164.54 / $19,007.09	Professional		$12,164.54	$12,164.54	$19,007.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,189.97 / $4,189.97 / $4,189.97	Professional		$4,189.97	$4,189.97	$4,189.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.29 / $1,789.70 / $2,071.52	Facility		$658.29	$1,789.70	$2,071.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $998.51 / $1,367.82 / $1,945.41	Professional		$998.51	$1,367.82	$1,945.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,857.77 / $3,857.77 / $3,857.77	Professional		$3,857.77	$3,857.77	$3,857.77
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $683.69 / $1,162.27 / $1,635.11	Professional		$683.69	$1,162.27	$1,635.11
United Facility/Professional Facility Modifier Low / Median / High Price $649.48 / $1,347.44 / $1,571.29	Facility		$649.48	$1,347.44	$1,571.29
United Facility/Professional Professional Modifier Low / Median / High Price $959.82 / $1,037.55 / $2,062.12	Professional		$959.82	$1,037.55	$2,062.12