Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,531.46 / $2,531.46 / $16,214.60	Facility		$2,531.46	$2,531.46	$16,214.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,885.54 / $2,531.46 / $16,214.60	Professional		$1,885.54	$2,531.46	$16,214.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,922.34 / $7,919.48 / $17,839.06	Facility		$1,922.34	$7,919.48	$17,839.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,574.31 / $2,574.31 / $4,805.85	Professional		$2,574.31	$2,574.31	$4,805.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $6,653.37 / $11,881.02	Facility		$98.20	$6,653.37	$11,881.02
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $7,456.56 / $17,368.83	Professional		$100.00	$7,456.56	$17,368.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,628.51 / $3,249.00 / $3,249.00	Facility		$2,628.51	$3,249.00	$3,249.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $2,371.77 / $3,346.47	Professional		$2,371.77	$2,371.77	$3,346.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,428.59 / $1,714.31 / $6,181.82	Professional		$1,428.59	$1,714.31	$6,181.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,371.90 / $3,933.89 / $8,542.16	Professional		$3,371.90	$3,933.89	$8,542.16
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,490.21 / $26,694.24 / $26,694.24	Facility		$10,490.21	$26,694.24	$26,694.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,975.23 / $27,227.75 / $35,111.10	Professional		$26,975.23	$27,227.75	$35,111.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,188.64 / $10,188.64 / $10,188.64	Professional		$10,188.64	$10,188.64	$10,188.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.50 / $4,881.53 / $5,619.84	Facility		$1,357.50	$4,881.53	$5,619.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,371.77 / $3,249.00 / $4,776.85	Professional		$2,371.77	$3,249.00	$4,776.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,607.23 / $10,607.23 / $10,607.23	Professional		$10,607.23	$10,607.23	$10,607.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,428.59 / $2,428.60 / $4,495.87	Professional		$1,428.59	$2,428.60	$4,495.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,979.32 / $2,479.51 / $5,619.84	Professional		$1,979.32	$2,479.51	$5,619.84