Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,292.05 / $11,216.00 / $25,217.10	Facility		$3,292.05	$11,216.00	$25,217.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,517.44 / $3,214.59 / $24,903.40	Professional		$2,517.44	$3,214.59	$24,903.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $6,956.68 / $19,093.89	Facility		$614.00	$6,956.68	$19,093.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $4,364.02 / $10,333.67	Professional		$1,549.20	$4,364.02	$10,333.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $5,112.35 / $34,740.81	Facility		$59.40	$5,112.35	$34,740.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,762.22 / $2,517.44 / $6,328.62	Professional		$1,762.22	$2,517.44	$6,328.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.13 / $6,646.07 / $12,964.87	Facility		$2,672.13	$6,646.07	$12,964.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,062.44 / $3,331.66 / $15,765.08	Professional		$2,062.44	$3,331.66	$15,765.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,873.00 / $5,228.55	Professional		$3,098.40	$3,873.00	$5,228.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,485.70 / $4,453.95 / $8,520.60	Professional		$3,485.70	$4,453.95	$8,520.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,739.02 / $18,396.75 / $18,396.75	Facility		$6,739.02	$18,396.75	$18,396.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,365.00 / $19,365.00 / $29,047.50	Professional		$19,365.00	$19,365.00	$29,047.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,098.40 / $4,647.60 / $11,109.51	Facility		$3,098.40	$4,647.60	$11,109.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,082.96 / $4,453.95 / $10,483.77	Professional		$2,082.96	$4,453.95	$10,483.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,594.23 / $13,594.23 / $13,594.23	Professional		$13,594.23	$13,594.23	$13,594.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,098.40 / $3,485.70 / $5,267.28	Professional		$3,098.40	$3,485.70	$5,267.28
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $1,626.66 / $8,551.58	Professional		$1,626.66	$1,626.66	$8,551.58