Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.39 / $1,058.39 / $6,779.20	Facility		$1,058.39	$1,058.39	$6,779.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $771.53 / $1,058.39 / $6,779.20	Professional		$771.53	$1,058.39	$6,779.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $803.72 / $3,311.07 / $7,458.37	Facility		$803.72	$3,311.07	$7,458.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.61 / $1,076.58 / $2,154.89	Professional		$1,071.61	$1,076.58	$2,154.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,781.73 / $4,967.38	Facility		$97.00	$2,781.73	$4,967.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,117.54 / $7,261.80	Professional		$100.00	$3,117.54	$7,261.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,098.96 / $1,498.90 / $1,498.90	Facility		$1,098.96	$1,498.90	$1,498.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,094.20 / $1,543.87	Professional		$1,094.20	$1,094.20	$1,543.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $749.87 / $2,584.57	Professional		$624.89	$749.87	$2,584.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,409.77 / $1,644.73 / $3,571.41	Professional		$1,409.77	$1,644.73	$3,571.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,703.68 / $11,160.65 / $11,160.65	Facility		$4,703.68	$11,160.65	$11,160.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,630.57 / $11,886.35 / $15,787.43	Professional		$11,630.57	$11,886.35	$15,787.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,612.53 / $3,612.53 / $3,612.53	Professional		$3,612.53	$3,612.53	$3,612.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $567.55 / $2,030.61 / $2,349.61	Facility		$567.55	$2,030.61	$2,349.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,094.20 / $1,498.90 / $2,236.40	Professional		$1,094.20	$1,498.90	$2,236.40
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,434.80 / $4,434.80 / $4,434.80	Professional		$4,434.80	$4,434.80	$4,434.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $624.89 / $1,062.31 / $1,879.69	Professional		$624.89	$1,062.31	$1,879.69
United Facility/Professional Professional Modifier Low / Median / High Price $827.54 / $1,059.45 / $2,370.57	Professional		$827.54	$1,059.45	$2,370.57