Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.78 / $993.78 / $6,365.30	Facility		$993.78	$993.78	$6,365.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $722.95 / $993.78 / $6,365.30	Professional		$722.95	$993.78	$6,365.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $754.65 / $3,108.92 / $7,003.01	Facility		$754.65	$3,108.92	$7,003.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,006.20 / $1,006.20 / $2,051.73	Professional		$1,006.20	$1,006.20	$2,051.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,611.90 / $4,664.10	Facility		$97.00	$2,611.90	$4,664.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,927.20 / $6,818.43	Professional		$100.00	$2,927.20	$6,818.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,031.86 / $1,427.14 / $1,427.14	Facility		$1,031.86	$1,427.14	$1,427.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,041.81 / $1,469.95	Professional		$1,041.81	$1,041.81	$1,469.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $920.07 / $1,104.08 / $2,426.78	Professional		$920.07	$1,104.08	$2,426.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,323.70 / $1,544.31 / $3,353.36	Professional		$1,323.70	$1,544.31	$3,353.36
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,885.18 / $8,775.70 / $10,479.26	Facility		$3,885.18	$8,775.70	$10,479.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,282.35 / $12,577.14 / $12,577.14	Professional		$12,282.35	$12,577.14	$12,577.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,685.63 / $3,685.63 / $3,685.63	Professional		$3,685.63	$3,685.63	$3,685.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $532.91 / $1,916.33 / $2,289.55	Facility		$532.91	$1,916.33	$2,289.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,041.81 / $1,427.14 / $2,099.86	Professional		$1,041.81	$1,427.14	$2,099.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,164.04 / $4,164.04 / $4,164.04	Professional		$4,164.04	$4,164.04	$4,164.04
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $920.07 / $1,564.12 / $1,764.93	Professional		$920.07	$1,564.12	$1,764.93
United Facility/Professional Professional Modifier Low / Median / High Price $785.52 / $947.40 / $2,225.84	Professional		$785.52	$947.40	$2,225.84