Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,753.43 / $2,753.43 / $17,636.30	Facility		$2,753.43	$2,753.43	$17,636.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,209.13 / $2,753.43 / $17,636.30	Professional		$2,209.13	$2,753.43	$17,636.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,090.89 / $8,613.85 / $19,403.16	Facility		$2,090.89	$8,613.85	$19,403.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,787.85 / $2,800.76 / $5,276.61	Professional		$2,787.85	$2,800.76	$5,276.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,236.75 / $12,922.77	Facility		$97.00	$7,236.75	$12,922.77
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $8,110.36 / $18,891.73	Professional		$100.00	$8,110.36	$18,891.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,858.98 / $3,670.30 / $3,670.30	Facility		$2,858.98	$3,670.30	$3,670.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $2,679.32 / $3,780.41	Professional		$2,679.32	$2,679.32	$3,780.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,368.19 / $1,641.83 / $6,723.84	Professional		$1,368.19	$1,641.83	$6,723.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,667.55 / $4,278.81 / $9,291.12	Professional		$3,667.55	$4,278.81	$9,291.12
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,517.75 / $29,034.76 / $29,034.76	Facility		$11,517.75	$29,034.76	$29,034.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,123.14 / $30,846.11 / $34,383.30	Professional		$30,123.14	$30,846.11	$34,383.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,719.65 / $10,719.65 / $10,719.65	Professional		$10,719.65	$10,719.65	$10,719.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,476.53 / $5,229.10 / $6,112.58	Facility		$1,476.53	$5,229.10	$6,112.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,679.32 / $3,670.30 / $5,682.91	Professional		$2,679.32	$3,670.30	$5,682.91
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,537.27 / $11,537.27 / $11,537.27	Professional		$11,537.27	$11,537.27	$11,537.27
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,368.19 / $2,325.92 / $4,890.06	Professional		$1,368.19	$2,325.92	$4,890.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,191.65 / $2,756.18 / $8,178.25	Professional		$2,191.65	$2,756.18	$8,178.25