Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $12,022.64 / $24,547.09	Facility		$4,677.35	$12,022.64	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $24,547.09	Professional		$2,041.74	$3,162.28	$24,547.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $8,709.64 / $18,620.87	Facility		$1,737.80	$8,709.64	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $6,309.57	Professional		$1,513.56	$1,698.24	$6,309.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,511.38 / $10,471.29	Facility		$2,691.53	$8,511.38	$10,471.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $7,413.10	Professional		$2,187.76	$2,951.21	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $12,589.25	Facility		$2,454.71	$6,456.54	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $10,964.78	Professional		$1,698.24	$2,511.89	$10,964.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,168.69 / $5,011.87	Professional		$3,715.35	$4,168.69	$5,011.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $6,606.93	Professional		$3,388.44	$4,168.69	$6,606.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Facility		$17,782.79	$17,782.79	$17,782.79
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $28,183.83 / $28,183.83	Professional		$18,620.87	$28,183.83	$28,183.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $4,466.84 / $10,964.78	Facility		$2,570.40	$4,466.84	$10,964.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,715.35 / $10,471.29	Professional		$1,698.24	$3,715.35	$10,471.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,715.35 / $3,715.35	Facility		$1,584.89	$3,715.35	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $7,244.36	Professional		$1,230.27	$1,584.89	$7,244.36