Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,069.06 / $2,069.06 / $10,859.80	Facility		$2,069.06	$2,069.06	$10,859.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,655.33 / $2,069.06 / $3,496.92	Professional		$1,655.33	$2,069.06	$3,496.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,571.19 / $5,710.49 / $11,947.81	Facility		$1,571.19	$5,710.49	$11,947.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,881.25 / $2,048.37 / $3,586.39	Professional		$1,881.25	$2,048.37	$3,586.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,456.10 / $7,957.32	Facility		$97.00	$4,456.10	$7,957.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,994.07 / $11,632.86	Professional		$100.00	$4,994.07	$11,632.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,760.45 / $2,326.75 / $2,326.75	Facility		$1,760.45	$2,326.75	$2,326.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $1,698.53 / $2,480.44	Professional		$1,698.53	$1,698.53	$2,480.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,011.94 / $2,414.33 / $4,140.31	Professional		$2,011.94	$2,414.33	$4,140.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,258.35 / $2,634.74 / $5,721.16	Professional		$2,258.35	$2,634.74	$5,721.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,478.63 / $17,957.82 / $17,957.82	Facility		$6,478.63	$17,957.82	$17,957.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,415.13 / $19,415.13 / $28,229.40	Professional		$19,415.13	$19,415.13	$28,229.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,947.52 / $7,947.52 / $7,947.52	Professional		$7,947.52	$7,947.52	$7,947.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,109.53 / $3,295.81 / $3,876.84	Facility		$1,109.53	$3,295.81	$3,876.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,698.53 / $2,326.75 / $3,582.55	Professional		$1,698.53	$2,326.75	$3,582.55
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,104.23 / $7,104.23 / $7,104.23	Professional		$7,104.23	$7,104.23	$7,104.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,011.94 / $3,011.14 / $3,017.91	Professional		$2,011.94	$3,011.14	$3,017.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,560.53 / $1,718.66 / $3,797.48	Professional		$1,560.53	$1,718.66	$3,797.48