Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,143.94 / $1,143.94 / $5,952.89	Facility		$1,143.94	$1,143.94	$5,952.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $852.04 / $1,143.94 / $5,952.89	Professional		$852.04	$1,143.94	$5,952.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $868.68 / $3,157.22 / $6,549.31	Facility		$868.68	$3,157.22	$6,549.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,157.24 / $1,157.24 / $2,230.23	Professional		$1,157.24	$1,157.24	$2,230.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,442.67 / $4,361.91	Facility		$97.00	$2,442.67	$4,361.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,737.55 / $6,376.65	Professional		$100.00	$2,737.55	$6,376.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,551.30 / $1,551.30 / $1,736.76	Facility		$1,551.30	$1,551.30	$1,736.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,132.45 / $1,597.84	Professional		$1,132.45	$1,132.45	$1,597.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,102.86 / $1,323.44 / $2,269.55	Professional		$1,102.86	$1,323.44	$2,269.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,237.94 / $1,444.26 / $3,136.11	Professional		$1,237.94	$1,444.26	$3,136.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,028.82 / $9,894.54 / $9,894.54	Facility		$4,028.82	$9,894.54	$9,894.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,189.70 / $12,189.70 / $19,046.40	Professional		$12,189.70	$12,189.70	$19,046.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,591.18 / $4,591.18 / $4,591.18	Professional		$4,591.18	$4,591.18	$4,591.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $613.44 / $1,949.23 / $2,239.60	Facility		$613.44	$1,949.23	$2,239.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,132.45 / $1,551.30 / $2,222.61	Professional		$1,132.45	$1,551.30	$2,222.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,894.25 / $3,894.25 / $3,894.25	Professional		$3,894.25	$3,894.25	$3,894.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,102.86 / $1,650.58 / $1,654.31	Professional		$1,102.86	$1,650.58	$1,654.31
United Facility/Professional Professional Modifier Low / Median / High Price $894.43 / $1,029.32 / $2,063.23	Professional		$894.43	$1,029.32	$2,063.23