Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.38 / $1,425.38 / $7,749.41	Facility		$1,425.38	$1,425.38	$7,749.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,153.51 / $1,425.38 / $7,749.41	Professional		$1,153.51	$1,425.38	$7,749.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.11 / $1,250.27 / $3,305.62	Facility		$1,038.11	$1,250.27	$3,305.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.99 / $1,425.38 / $3,011.85	Professional		$1,000.99	$1,425.38	$3,011.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,563.71 / $8,301.08	Professional		$100.00	$3,563.71	$8,301.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,363.57 / $1,482.94 / $1,482.94	Facility		$1,363.57	$1,482.94	$1,482.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,260.50 / $1,527.43	Professional		$1,260.50	$1,260.50	$1,527.43
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,148.69 / $2,685.88 / $3,223.06	Professional		$2,148.69	$2,685.88	$3,223.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,611.53 / $1,880.12 / $4,082.54	Professional		$1,611.53	$1,880.12	$4,082.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,390.93 / $12,757.93 / $12,757.93	Facility		$5,390.93	$12,757.93	$12,757.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $13,194.36 / $13,194.36 / $19,538.40	Professional		$13,194.36	$13,194.36	$19,538.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,401.09 / $5,401.09 / $5,401.09	Professional		$5,401.09	$5,401.09	$5,401.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $764.36 / $2,374.55 / $2,685.88	Facility		$764.36	$2,374.55	$2,685.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,260.50 / $1,482.94 / $2,463.79	Professional		$1,260.50	$1,482.94	$2,463.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,069.50 / $5,069.50 / $5,069.50	Professional		$5,069.50	$5,069.50	$5,069.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,114.48 / $1,276.11 / $2,491.78	Professional		$1,114.48	$1,276.11	$2,491.78