Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,121.78 / $2,121.78 / $13,590.40	Facility		$2,121.78	$2,121.78	$13,590.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,843.77 / $2,121.78 / $13,590.40	Professional		$1,843.77	$2,121.78	$13,590.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,611.23 / $6,637.78 / $14,951.97	Facility		$1,611.23	$6,637.78	$14,951.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,891.00 / $2,151.62 / $3,605.04	Professional		$1,891.00	$2,151.62	$3,605.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,576.60 / $9,958.21	Facility		$97.00	$5,576.60	$9,958.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,249.80 / $14,557.88	Professional		$100.00	$6,249.80	$14,557.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,203.12 / $2,507.59 / $2,517.85	Facility		$2,203.12	$2,507.59	$2,517.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $1,830.54 / $2,582.82	Professional		$1,830.54	$1,830.54	$2,582.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,517.85 / $3,021.42 / $5,181.35	Professional		$2,517.85	$3,021.42	$5,181.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,826.19 / $3,297.22 / $7,159.69	Professional		$2,826.19	$3,297.22	$7,159.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,869.07 / $18,505.52 / $22,374.02	Facility		$7,869.07	$18,505.52	$22,374.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,060.61 / $28,734.08 / $28,734.08	Professional		$28,060.61	$28,734.08	$28,734.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,548.91 / $8,548.91 / $8,548.91	Professional		$8,548.91	$8,548.91	$8,548.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,137.80 / $4,061.25 / $4,778.78	Facility		$1,137.80	$4,061.25	$4,778.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,830.54 / $2,507.59 / $4,061.25	Professional		$1,830.54	$2,507.59	$4,061.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,890.56 / $8,890.56 / $8,890.56	Professional		$8,890.56	$8,890.56	$8,890.56
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,517.85 / $3,768.26 / $3,776.78	Professional		$2,517.85	$3,768.26	$3,776.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,600.29 / $1,762.45 / $4,470.35	Professional		$1,600.29	$1,762.45	$4,470.35