Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,441.72	Facility		$1,427.45	$1,427.45	$1,441.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,570.20	Professional		$1,427.45	$1,427.45	$1,570.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.03 / $1,590.60 / $2,691.15	Facility		$1,323.03	$1,590.60	$2,691.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,370.73 / $1,448.32 / $3,863.26	Professional		$1,370.73	$1,448.32	$3,863.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,141.96	Professional		$100.00	$100.00	$1,141.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.65 / $1,346.65 / $1,427.45	Facility		$1,346.65	$1,346.65	$1,427.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,548.65	Professional		$1,427.45	$1,427.45	$1,548.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,459.55 / $1,605.51 / $1,970.39	Professional		$1,459.55	$1,605.51	$1,970.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,284.71 / $1,784.31 / $3,111.84	Professional		$1,284.71	$1,784.31	$3,111.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,845.10 / $6,444.03 / $6,525.00	Facility		$1,845.10	$6,444.03	$6,525.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,444.03 / $6,525.00 / $6,612.00	Professional		$6,444.03	$6,525.00	$6,612.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,605.50 / $10,505.52 / $15,952.83	Professional		$1,605.50	$10,505.52	$15,952.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,427.45 / $1,541.65 / $2,430.66	Facility		$1,427.45	$1,541.65	$2,430.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $1,844.40	Professional		$1,427.45	$1,427.45	$1,844.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,141.96 / $1,459.55 / $1,751.46	Professional		$1,141.96	$1,459.55	$1,751.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,427.45 / $1,427.45 / $2,710.44	Professional		$1,427.45	$1,427.45	$2,710.44