Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,165.17 / $1,165.17 / $5,597.32	Facility		$1,165.17	$1,165.17	$5,597.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $847.63 / $1,165.17 / $5,597.32	Professional		$847.63	$1,165.17	$5,597.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.80 / $2,974.00 / $6,158.11	Facility		$884.80	$2,974.00	$6,158.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.94 / $1,185.19 / $1,804.19	Professional		$971.94	$1,185.19	$1,804.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $2,296.77 / $4,101.38	Facility		$97.00	$2,296.77	$4,101.38
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $2,574.03 / $5,995.79	Professional		$100.00	$2,574.03	$5,995.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $907.38 / $1,254.96 / $1,254.96	Facility		$907.38	$1,254.96	$1,254.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $916.12 / $1,292.60	Professional		$916.12	$916.12	$1,292.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $675.62 / $810.74 / $2,133.98	Professional		$675.62	$810.74	$2,133.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,163.99 / $1,357.99 / $2,948.78	Professional		$1,163.99	$1,357.99	$2,948.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,673.04 / $9,310.49 / $9,310.49	Facility		$3,673.04	$9,310.49	$9,310.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,803.92 / $12,803.92 / $14,549.93	Professional		$12,803.92	$12,803.92	$14,549.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,302.63 / $5,302.63 / $5,302.63	Professional		$5,302.63	$5,302.63	$5,302.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.82 / $1,715.12 / $2,036.99	Facility		$624.82	$1,715.12	$2,036.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $916.12 / $1,254.96 / $1,846.51	Professional		$916.12	$1,254.96	$1,846.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,661.64 / $3,661.64 / $3,661.64	Professional		$3,661.64	$3,661.64	$3,661.64
United Facility/Professional Facility Modifier Low / Median / High Price $969.63 / $969.63 / $969.63	Facility		$969.63	$969.63	$969.63
United Facility/Professional Professional Modifier Low / Median / High Price $911.02 / $984.80 / $1,939.99	Professional		$911.02	$984.80	$1,939.99