Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,504.26 / $2,504.26 / $16,040.40	Facility		$2,504.26	$2,504.26	$16,040.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.27 / $2,504.26 / $16,040.40	Professional		$1,865.27	$2,504.26	$16,040.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,901.68 / $7,834.36 / $17,647.33	Facility		$1,901.68	$7,834.36	$17,647.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,328.71 / $2,547.31 / $4,322.74	Professional		$2,328.71	$2,547.31	$4,322.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $6,581.88 / $11,753.36	Facility		$97.00	$6,581.88	$11,753.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $7,376.45 / $17,182.20	Professional		$100.00	$7,376.45	$17,182.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,600.26 / $3,006.81 / $3,006.81	Facility		$2,600.26	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,194.96 / $3,097.01	Professional		$2,194.96	$2,194.96	$3,097.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,664.94 / $1,997.93 / $6,115.38	Professional		$1,664.94	$1,997.93	$6,115.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,335.66 / $3,891.61 / $8,450.35	Professional		$3,335.66	$3,891.61	$8,450.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,588.01 / $22,146.98 / $26,407.34	Facility		$8,588.01	$22,146.98	$26,407.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,149.58 / $27,801.18 / $38,111.55	Professional		$27,149.58	$27,801.18	$38,111.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,547.63 / $8,547.63 / $8,547.63	Professional		$8,547.63	$8,547.63	$8,547.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,342.91 / $4,504.88 / $5,559.44	Facility		$1,342.91	$4,504.88	$5,559.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $3,006.81 / $4,622.01	Professional		$2,194.96	$3,006.81	$4,622.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,493.25 / $10,493.25 / $10,493.25	Professional		$10,493.25	$10,493.25	$10,493.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,664.94 / $2,830.40 / $4,447.55	Professional		$1,664.94	$2,830.40	$4,447.55
United Facility/Professional Professional Modifier Low / Median / High Price $1,979.47 / $2,504.27 / $5,795.61	Professional		$1,979.47	$2,504.27	$5,795.61