Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,175.08 / $1,175.08 / $6,167.68	Facility		$1,175.08	$1,175.08	$6,167.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.00 / $1,175.08 / $6,167.68	Professional		$934.00	$1,175.08	$6,167.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $892.33 / $3,243.17 / $6,785.57	Facility		$892.33	$3,243.17	$6,785.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,068.40 / $1,315.88 / $2,036.77	Professional		$1,068.40	$1,315.88	$2,036.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,530.77 / $4,519.24	Facility		$97.00	$2,530.77	$4,519.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,836.32 / $6,606.72	Professional		$100.00	$2,836.32	$6,606.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $999.82 / $1,222.54 / $1,222.54	Facility		$999.82	$1,222.54	$1,222.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $2,539.13	Professional		$892.45	$892.45	$2,539.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,142.65 / $1,371.18 / $2,351.42	Professional		$1,142.65	$1,371.18	$2,351.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,282.59 / $1,496.36 / $3,249.24	Professional		$1,282.59	$1,496.36	$3,249.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,679.32 / $10,198.75 / $10,198.75	Facility		$3,679.32	$10,198.75	$10,198.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,026.37 / $11,026.37 / $16,032.45	Professional		$11,026.37	$11,026.37	$16,032.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,513.62 / $4,513.62 / $4,513.62	Professional		$4,513.62	$4,513.62	$4,513.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.14 / $1,871.81 / $2,201.77	Facility		$630.14	$1,871.81	$2,201.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $892.45 / $892.45 / $2,087.56	Professional		$892.45	$892.45	$2,087.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,034.76 / $4,034.76 / $4,034.76	Professional		$4,034.76	$4,034.76	$4,034.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,142.65 / $1,710.13 / $1,713.98	Professional		$1,142.65	$1,710.13	$1,713.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,217.37 / $2,608.67 / $2,608.67	Facility		$2,217.37	$2,608.67	$2,608.67
United Facility/Professional Professional Modifier Low / Median / High Price $918.78 / $1,066.46 / $2,156.73	Professional		$918.78	$1,066.46	$2,156.73