Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.28 / $1,313.28 / $6,892.95	Facility		$1,313.28	$1,313.28	$6,892.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.83 / $1,313.28 / $6,892.95	Professional		$1,043.83	$1,313.28	$6,892.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $997.28 / $3,624.61 / $7,583.50	Facility		$997.28	$3,624.61	$7,583.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,103.68 / $1,335.86 / $2,276.35	Professional		$1,103.68	$1,335.86	$2,276.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,828.41 / $5,050.72	Facility		$97.00	$2,828.41	$5,050.72
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,169.84 / $7,383.62	Professional		$100.00	$3,169.84	$7,383.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,366.32 / $1,366.32 / $1,897.88	Facility		$1,366.32	$1,366.32	$1,897.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $997.41 / $1,407.31	Professional		$997.41	$997.41	$1,407.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,436.30 / $1,723.56 / $2,627.93	Professional		$1,436.30	$1,723.56	$2,627.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,433.42 / $1,672.32 / $3,631.33	Professional		$1,433.42	$1,672.32	$3,631.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,112.12 / $11,410.07 / $11,410.07	Facility		$4,112.12	$11,410.07	$11,410.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,323.41 / $12,323.41 / $17,917.73	Professional		$12,323.41	$12,323.41	$17,917.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,044.49 / $5,044.49 / $5,044.49	Professional		$5,044.49	$5,044.49	$5,044.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.46 / $2,273.92 / $2,460.73	Facility		$739.46	$2,273.92	$2,460.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $997.41 / $1,366.32 / $2,273.92	Professional		$997.41	$1,366.32	$2,273.92
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,509.21 / $4,509.21 / $4,509.21	Professional		$4,509.21	$4,509.21	$4,509.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,436.30 / $1,911.22 / $2,150.13	Professional		$1,436.30	$1,911.22	$2,150.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,038.07 / $1,191.85 / $2,273.08	Professional		$1,038.07	$1,191.85	$2,273.08