Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.20 / $1,250.20 / $6,560.17	Facility		$1,250.20	$1,250.20	$6,560.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $999.95 / $1,250.20 / $6,560.17	Professional		$999.95	$1,250.20	$6,560.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $910.54 / $1,096.61 / $2,899.38	Facility		$910.54	$1,096.61	$2,899.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $873.64 / $1,250.20 / $2,641.68	Professional		$873.64	$1,250.20	$2,641.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,016.81 / $7,027.17	Professional		$100.00	$3,016.81	$7,027.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,195.72 / $1,800.00 / $1,800.00	Facility		$1,195.72	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,530.00 / $1,854.00	Professional		$1,530.00	$1,530.00	$1,854.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,818.96 / $2,273.69 / $2,728.44	Professional		$1,818.96	$2,273.69	$2,728.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,364.22 / $1,591.59 / $3,456.02	Professional		$1,364.22	$1,591.59	$3,456.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,728.99 / $10,800.08 / $10,800.08	Facility		$4,728.99	$10,800.08	$10,800.08
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,751.80 / $11,751.80 / $17,052.75	Professional		$11,751.80	$11,751.80	$17,052.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,801.01 / $4,801.01 / $4,801.01	Professional		$4,801.01	$4,801.01	$4,801.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.42 / $2,010.17 / $2,341.96	Facility		$670.42	$2,010.17	$2,341.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,530.00 / $1,800.00 / $2,164.14	Professional		$1,530.00	$1,800.00	$2,164.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,291.52 / $4,291.52 / $4,291.52	Professional		$4,291.52	$4,291.52	$4,291.52
United Facility/Professional Professional Modifier Low / Median / High Price $988.21 / $1,134.32 / $2,293.98	Professional		$988.21	$1,134.32	$2,293.98