Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.94 / $1,293.94 / $6,791.45	Facility		$1,293.94	$1,293.94	$6,791.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.46 / $1,293.94 / $6,791.45	Professional		$1,028.46	$1,293.94	$6,791.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $982.58 / $3,571.19 / $7,471.86	Facility		$982.58	$3,571.19	$7,471.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,208.24 / $1,448.96 / $2,242.83	Professional		$1,208.24	$1,448.96	$2,242.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,786.75 / $4,976.34	Facility		$97.00	$2,786.75	$4,976.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,123.17 / $7,274.90	Professional		$100.00	$3,123.17	$7,274.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.95 / $1,346.19 / $1,346.19	Facility		$1,100.95	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,435.11	Professional		$982.72	$982.72	$1,435.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $892.69 / $1,071.23 / $2,589.25	Professional		$892.69	$1,071.23	$2,589.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.32 / $1,647.70 / $3,577.87	Professional		$1,412.32	$1,647.70	$3,577.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,051.56 / $11,271.87 / $11,271.87	Facility		$4,051.56	$11,271.87	$11,271.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,141.34 / $12,141.34 / $17,653.95	Professional		$12,141.34	$12,141.34	$17,653.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,970.20 / $4,970.20 / $4,970.20	Professional		$4,970.20	$4,970.20	$4,970.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $693.87 / $2,044.61 / $2,424.48	Facility		$693.87	$2,044.61	$2,424.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $2,240.44	Professional		$982.72	$1,346.19	$2,240.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,442.82 / $4,442.82 / $4,442.82	Professional		$4,442.82	$4,442.82	$4,442.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $892.69 / $1,517.57 / $1,883.09	Professional		$892.69	$1,517.57	$1,883.09
United Facility/Professional Professional Modifier Low / Median / High Price $1,011.71 / $1,163.83 / $2,353.86	Professional		$1,011.71	$1,163.83	$2,353.86