Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $8,511.38	Facility		$1,174.90	$1,174.90	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $7,413.10	Professional		$831.76	$1,174.90	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,122.02 / $4,570.88	Facility		$891.25	$1,122.02	$4,570.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,511.89	Professional		$1,174.90	$1,174.90	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $3,388.44 / $4,570.88	Facility		$100.00	$3,388.44	$4,570.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $6,309.57	Professional		$1,862.09	$3,630.78	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,258.93	Facility		$912.01	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $851.14 / $2,398.83	Professional		$676.08	$851.14	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,162.28	Professional		$1,174.90	$1,778.28	$3,162.28
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $14,454.40 / $14,454.40	Professional		$12,882.50	$14,454.40	$14,454.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,862.09 / $2,630.27	Facility		$660.69	$1,862.09	$2,630.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,862.09	Professional		$912.01	$912.01	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $1,288.25 / $2,630.27	Facility		$158.49	$1,288.25	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,995.26	Professional		$891.25	$1,148.15	$1,995.26