Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,031.08 / $1,031.08 / $6,604.31	Facility		$1,031.08	$1,031.08	$6,604.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.28 / $1,031.08 / $6,604.31	Professional		$760.28	$1,031.08	$6,604.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.99 / $3,225.66 / $7,265.97	Facility		$782.99	$3,225.66	$7,265.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.98 / $1,048.81 / $2,118.41	Professional		$1,043.98	$1,048.81	$2,118.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,709.97 / $4,839.22	Facility		$97.00	$2,709.97	$4,839.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,037.12 / $7,074.47	Professional		$100.00	$3,037.12	$7,074.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,070.61 / $1,473.53 / $1,473.53	Facility		$1,070.61	$1,473.53	$1,473.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,075.68 / $1,517.74	Professional		$1,075.68	$1,075.68	$1,517.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $648.48 / $778.18 / $2,517.90	Professional		$648.48	$778.18	$2,517.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,373.40 / $1,602.30 / $3,479.28	Professional		$1,373.40	$1,602.30	$3,479.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,624.06 / $10,872.75 / $10,872.75	Facility		$4,624.06	$10,872.75	$10,872.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,987.20 / $10,987.20 / $16,415.03	Professional		$10,987.20	$10,987.20	$16,415.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,559.86 / $3,559.86 / $3,559.86	Professional		$3,559.86	$3,559.86	$3,559.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $552.91 / $1,835.50 / $2,298.10	Facility		$552.91	$1,835.50	$2,298.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,075.68 / $1,473.53 / $1,883.22	Professional		$1,075.68	$1,473.53	$1,883.22
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,320.39 / $4,320.39 / $4,320.39	Professional		$4,320.39	$4,320.39	$4,320.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $648.48 / $1,102.42 / $1,831.20	Professional		$648.48	$1,102.42	$1,831.20
United Facility/Professional Professional Modifier Low / Median / High Price $815.01 / $1,032.11 / $2,551.19	Professional		$815.01	$1,032.11	$2,551.19