Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,065.89 / $1,065.89 / $6,827.23	Facility		$1,065.89	$1,065.89	$6,827.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $791.34 / $1,065.89 / $6,827.23	Professional		$791.34	$1,065.89	$6,827.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.41 / $3,334.53 / $7,511.22	Facility		$809.41	$3,334.53	$7,511.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,079.21 / $1,084.21 / $2,200.62	Professional		$1,079.21	$1,084.21	$2,200.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,801.43 / $5,002.55	Facility		$97.00	$2,801.43	$5,002.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,139.64 / $7,313.25	Professional		$100.00	$3,139.64	$7,313.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,106.75 / $1,530.70 / $1,530.70	Facility		$1,106.75	$1,530.70	$1,530.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $2,743.13	Professional		$1,117.41	$1,117.41	$2,743.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $950.10 / $1,140.11 / $2,602.89	Professional		$950.10	$1,140.11	$2,602.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,419.76 / $1,656.38 / $3,596.72	Professional		$1,419.76	$1,656.38	$3,596.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,242.81 / $9,406.52 / $11,239.74	Facility		$4,242.81	$9,406.52	$11,239.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,412.66 / $13,734.54 / $13,975.35	Professional		$13,412.66	$13,734.54	$13,975.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,705.29 / $3,705.29 / $3,705.29	Professional		$3,705.29	$3,705.29	$3,705.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $571.58 / $2,055.39 / $2,400.65	Facility		$571.58	$2,055.39	$2,400.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,117.41 / $1,117.41 / $2,279.17	Professional		$1,117.41	$1,117.41	$2,279.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,466.22 / $4,466.22 / $4,466.22	Professional		$4,466.22	$4,466.22	$4,466.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $950.10 / $1,615.17 / $1,893.01	Professional		$950.10	$1,615.17	$1,893.01
United Facility/Professional Professional Modifier Low / Median / High Price $833.40 / $1,039.85 / $2,195.27	Professional		$833.40	$1,039.85	$2,195.27