Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,649.64 / $2,649.64 / $13,903.50	Facility		$2,649.64	$2,649.64	$13,903.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,105.48 / $2,649.64 / $13,903.50	Professional		$2,105.48	$2,649.64	$13,903.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,012.07 / $7,312.87 / $15,296.41	Facility		$2,012.07	$7,312.87	$15,296.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,408.53 / $2,828.47 / $4,591.59	Professional		$2,408.53	$2,828.47	$4,591.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,705.08 / $10,187.65	Facility		$97.00	$5,705.08	$10,187.65
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,393.78 / $14,893.26	Professional		$100.00	$6,393.78	$14,893.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,756.64 / $2,756.64 / $3,828.15	Facility		$2,756.64	$2,756.64	$3,828.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $5,723.63	Professional		$2,012.35	$2,012.35	$5,723.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,575.86 / $3,091.03 / $5,300.71	Professional		$2,575.86	$3,091.03	$5,300.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,891.30 / $3,373.18 / $7,324.62	Professional		$2,891.30	$3,373.18	$7,324.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,294.48 / $22,996.26 / $22,996.26	Facility		$8,294.48	$22,996.26	$22,996.26
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,906.67 / $24,906.67 / $36,141.23	Professional		$24,906.67	$24,906.67	$36,141.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,175.05 / $10,175.05 / $10,175.05	Professional		$10,175.05	$10,175.05	$10,175.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.87 / $4,260.29 / $4,963.43	Facility		$1,420.87	$4,260.29	$4,963.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,012.35 / $2,012.35 / $4,705.89	Professional		$2,012.35	$2,012.35	$4,705.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,095.39 / $9,095.39 / $9,095.39	Professional		$9,095.39	$9,095.39	$9,095.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,575.86 / $3,855.06 / $3,863.79	Professional		$2,575.86	$3,855.06	$3,863.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,998.41 / $2,200.91 / $4,818.83	Professional		$1,998.41	$2,200.91	$4,818.83