Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $10,471.29	Facility		$1,096.48	$1,096.48	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $9,120.11	Professional		$891.25	$1,122.02	$9,120.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,047.13 / $4,786.30	Facility		$831.76	$1,047.13	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,754.23	Professional		$1,096.48	$1,096.48	$2,754.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $4,265.80 / $5,623.41	Facility		$100.00	$4,265.80	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $4,570.88 / $7,762.47	Professional		$2,344.23	$4,570.88	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,202.26	Facility		$1,122.02	$1,122.02	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,122.02	Professional		$831.76	$831.76	$1,122.02
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $2,951.21	Professional		$660.69	$812.83	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,890.45	Professional		$1,412.54	$2,187.76	$3,890.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $15,848.93 / $15,848.93	Professional		$11,481.54	$15,848.93	$15,848.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,089.30 / $2,951.21	Facility		$776.25	$2,089.30	$2,951.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $2,290.87	Professional		$831.76	$831.76	$2,290.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $977.24 / $2,187.76	Professional		$660.69	$977.24	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $1,202.26 / $2,454.71	Facility		$147.91	$1,202.26	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $2,454.71	Professional		$851.14	$1,096.48	$2,454.71