Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.50 / $1,105.50 / $7,080.92	Facility		$1,105.50	$1,105.50	$7,080.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.41 / $1,105.50 / $7,080.92	Professional		$934.41	$1,105.50	$7,080.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $839.50 / $3,458.44 / $7,790.34	Facility		$839.50	$3,458.44	$7,790.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.07 / $1,124.51 / $1,858.87	Professional		$975.07	$1,124.51	$1,858.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,905.55 / $5,188.47	Facility		$97.00	$2,905.55	$5,188.47
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,256.30 / $7,585.02	Professional		$100.00	$3,256.30	$7,585.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,147.86 / $1,408.48 / $1,408.48	Facility		$1,147.86	$1,408.48	$1,408.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,028.19 / $1,450.73	Professional		$1,028.19	$1,028.19	$1,450.73
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.27 / $1,491.92 / $2,699.61	Professional		$1,243.27	$1,491.92	$2,699.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,472.51 / $1,717.93 / $3,730.37	Professional		$1,472.51	$1,717.93	$3,730.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,057.52 / $9,898.48 / $11,657.40	Facility		$4,057.52	$9,898.48	$11,657.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,199.48 / $14,540.27 / $17,092.05	Professional		$14,199.48	$14,540.27	$17,092.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,494.95 / $4,494.95 / $4,494.95	Professional		$4,494.95	$4,494.95	$4,494.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $592.83 / $2,131.77 / $2,489.86	Facility		$592.83	$2,131.77	$2,489.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,028.19 / $1,408.48 / $1,797.50	Professional		$1,028.19	$1,408.48	$1,797.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,632.18 / $4,632.18 / $4,632.18	Professional		$4,632.18	$4,632.18	$4,632.18
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,243.27 / $1,963.35 / $1,963.35	Professional		$1,243.27	$1,963.35	$1,963.35
United Facility/Professional Professional Modifier Low / Median / High Price $873.83 / $1,078.50 / $2,587.29	Professional		$873.83	$1,078.50	$2,587.29