Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,126.83 / $1,126.83 / $6,188.81	Facility		$1,126.83	$1,126.83	$6,188.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $850.65 / $1,126.83 / $6,188.81	Professional		$850.65	$1,126.83	$6,188.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $855.69 / $3,110.01 / $6,808.84	Facility		$855.69	$3,110.01	$6,808.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,140.92 / $1,146.20 / $2,266.67	Professional		$1,140.92	$1,146.20	$2,266.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,539.48 / $4,534.81	Facility		$97.00	$2,539.48	$4,534.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,846.05 / $6,629.39	Professional		$100.00	$2,846.05	$6,629.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,003.26 / $1,576.65 / $1,576.65	Facility		$1,003.26	$1,576.65	$1,576.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,150.95 / $1,623.95	Professional		$1,150.95	$1,150.95	$1,623.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $823.38 / $988.06 / $2,359.48	Professional		$823.38	$988.06	$2,359.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,286.99 / $1,501.49 / $3,260.38	Professional		$1,286.99	$1,501.49	$3,260.38
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,947.70 / $10,188.70 / $10,188.70	Facility		$4,947.70	$10,188.70	$10,188.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,243.79 / $11,243.79 / $14,106.00	Professional		$11,243.79	$11,243.79	$14,106.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,043.19 / $4,043.19 / $4,043.19	Professional		$4,043.19	$4,043.19	$4,043.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $604.26 / $1,883.72 / $2,174.00	Facility		$604.26	$1,883.72	$2,174.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,150.95 / $1,576.65 / $2,057.89	Professional		$1,150.95	$1,576.65	$2,057.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,048.59 / $4,048.59 / $4,048.59	Professional		$4,048.59	$4,048.59	$4,048.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $823.38 / $1,399.75 / $1,715.99	Professional		$823.38	$1,399.75	$1,715.99
United Facility/Professional Professional Modifier Low / Median / High Price $881.05 / $1,060.57 / $2,170.90	Professional		$881.05	$1,060.57	$2,170.90