Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,001.33 / $7,852.66 / $7,852.66	Facility		$7,001.33	$7,852.66	$7,852.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,386.55 / $7,001.33 / $7,852.66	Professional		$3,386.55	$7,001.33	$7,852.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,314.00 / $11,098.00 / $23,642.59	Facility		$4,314.00	$11,098.00	$23,642.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,520.60 / $1,965.60 / $3,797.35	Professional		$1,520.60	$1,965.60	$3,797.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,969.70 / $5,355.90 / $9,109.29	Facility		$2,969.70	$5,355.90	$9,109.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,044.74 / $1,575.19 / $3,785.38	Professional		$1,044.74	$1,575.19	$3,785.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,209.51 / $5,506.05 / $6,596.87	Professional		$5,209.51	$5,506.05	$6,596.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,489.20 / $1,678.50 / $2,233.80	Professional		$1,489.20	$1,678.50	$2,233.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,243.94 / $1,713.08 / $3,096.35	Professional		$1,243.94	$1,713.08	$3,096.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,195.06 / $9,383.04	Facility		$55.00	$9,195.06	$9,383.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,836.20 / $10,836.20 / $11,512.50	Professional		$10,836.20	$10,836.20	$11,512.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,505.05 / $1,763.56 / $2,657.49	Facility		$1,505.05	$1,763.56	$2,657.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,463.45 / $2,673.19 / $3,649.14	Professional		$1,463.45	$2,673.19	$3,649.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,344.21 / $4,344.21 / $4,344.21	Professional		$4,344.21	$4,344.21	$4,344.21
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,370.09 / $1,692.87 / $2,817.00	Professional		$1,370.09	$1,692.87	$2,817.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,600.00 / $3,600.00 / $3,600.00	Facility		$3,600.00	$3,600.00	$3,600.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,022.09 / $1,359.83 / $2,942.92	Professional		$1,022.09	$1,359.83	$2,942.92