Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,807.76 / $7,458.82 / $18,055.40	Facility		$1,807.76	$7,458.82	$18,055.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,382.41 / $1,807.76 / $18,460.50	Professional		$1,382.41	$1,807.76	$18,460.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $5,156.89 / $14,154.03	Facility		$614.00	$5,156.89	$14,154.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.40 / $1,205.82 / $4,306.50	Professional		$1,148.40	$1,205.82	$4,306.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,075.73 / $8,096.22	Facility		$92.60	$2,075.73	$8,096.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,306.31 / $1,866.15 / $4,691.31	Professional		$1,306.31	$1,866.15	$4,691.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,847.49 / $4,926.64 / $9,610.67	Facility		$1,847.49	$4,926.64	$9,610.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.39 / $1,907.78 / $8,346.45	Professional		$1,147.39	$1,907.78	$8,346.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,871.00 / $3,158.10 / $3,875.85	Professional		$2,871.00	$3,158.10	$3,875.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,583.90 / $3,301.65 / $5,853.00	Professional		$2,583.90	$3,301.65	$5,853.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,995.54 / $13,637.25 / $13,637.25	Facility		$4,995.54	$13,637.25	$13,637.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,355.00 / $14,355.00 / $21,532.50	Professional		$14,355.00	$14,355.00	$21,532.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,009.70 / $2,009.70 / $2,009.70	Professional		$2,009.70	$2,009.70	$2,009.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,871.14 / $3,445.20 / $8,235.32	Facility		$1,871.14	$3,445.20	$8,235.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,443.01 / $3,158.10 / $5,895.45	Professional		$1,443.01	$3,158.10	$5,895.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,077.20 / $10,077.20 / $10,077.20	Professional		$10,077.20	$10,077.20	$10,077.20
United Facility/Professional Professional Modifier Low / Median / High Price $893.25 / $1,306.31 / $7,387.08	Professional		$893.25	$1,306.31	$7,387.08