Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $20,892.96	Facility		$2,630.27	$2,630.27	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $18,620.87	Professional		$2,089.30	$2,630.27	$18,620.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $10,964.78	Facility		$1,995.26	$2,570.40	$10,964.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $5,248.07	Professional		$2,818.38	$2,818.38	$5,248.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $8,317.64 / $11,220.18	Facility		$100.00	$8,317.64	$11,220.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $9,120.11 / $15,488.17	Professional		$4,677.35	$9,120.11	$15,488.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,754.23	Professional		$1,995.26	$1,995.26	$2,754.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $5,888.44	Professional		$2,570.40	$3,235.94	$5,888.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $7,762.47	Professional		$2,630.27	$4,466.84	$7,762.47
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility		$22,908.68	$22,908.68	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $36,307.81 / $36,307.81	Professional		$25,118.86	$36,307.81	$36,307.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Professional		$5,011.87	$5,011.87	$5,011.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,570.88 / $6,165.95	Facility		$1,479.11	$4,570.88	$6,165.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,677.35	Professional		$1,995.26	$1,995.26	$4,677.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $4,466.84	Professional		$2,570.40	$3,890.45	$4,466.84
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,187.76 / $6,025.60	Facility		$363.08	$2,187.76	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $4,897.79	Professional		$2,041.74	$2,398.83	$4,897.79