Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.36 / $1,067.36 / $5,635.31	Facility		$1,067.36	$1,067.36	$5,635.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $818.36 / $1,067.36 / $5,635.31	Professional		$818.36	$1,067.36	$5,635.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $810.59 / $2,946.09 / $6,199.92	Facility		$810.59	$2,946.09	$6,199.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,019.72 / $1,085.78 / $1,892.87	Professional		$1,019.72	$1,085.78	$1,892.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,312.34 / $4,129.18	Facility		$97.00	$2,312.34	$4,129.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,591.50 / $6,036.48	Professional		$100.00	$2,591.50	$6,036.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.52 / $1,316.65 / $1,316.65	Facility		$913.52	$1,316.65	$1,316.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $961.15 / $1,356.15	Professional		$961.15	$961.15	$1,356.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.10 / $792.12 / $2,148.48	Professional		$660.10	$792.12	$2,148.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,171.90 / $1,367.21 / $2,968.80	Professional		$1,171.90	$1,367.21	$2,968.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,554.31 / $9,399.59 / $9,399.59	Facility		$3,554.31	$9,399.59	$9,399.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,373.79 / $11,373.79 / $17,771.55	Professional		$11,373.79	$11,373.79	$17,771.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,831.79 / $3,831.79 / $3,831.79	Professional		$3,831.79	$3,831.79	$3,831.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $572.38 / $1,726.75 / $1,979.55	Facility		$572.38	$1,726.75	$1,979.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $961.15 / $1,316.65 / $1,839.06	Professional		$961.15	$1,316.65	$1,839.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,686.50 / $3,686.50 / $3,686.50	Professional		$3,686.50	$3,686.50	$3,686.50
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.10 / $1,122.17 / $1,562.53	Professional		$660.10	$1,122.17	$1,562.53
United Facility/Professional Professional Modifier Low / Median / High Price $843.69 / $974.41 / $2,053.96	Professional		$843.69	$974.41	$2,053.96