Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,381.38 / $2,381.38 / $13,897.50	Facility		$2,381.38	$2,381.38	$13,897.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,982.49 / $2,381.38 / $13,897.50	Professional		$1,982.49	$2,381.38	$13,897.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,808.36 / $6,952.50 / $15,289.81	Facility		$1,808.36	$6,952.50	$15,289.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,198.52 / $2,396.26 / $4,081.07	Professional		$2,198.52	$2,396.26	$4,081.07
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,702.60 / $10,183.21	Facility		$97.00	$5,702.60	$10,183.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,391.02 / $14,886.81	Professional		$100.00	$6,391.02	$14,886.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,252.90 / $2,728.17 / $2,728.17	Facility		$2,252.90	$2,728.17	$2,728.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $5,087.25	Professional		$1,991.56	$1,991.56	$5,087.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,405.01 / $1,686.01 / $5,298.43	Professional		$1,405.01	$1,686.01	$5,298.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,890.05 / $3,371.73 / $7,321.46	Professional		$2,890.05	$3,371.73	$7,321.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,908.15 / $22,879.56 / $22,879.56	Facility		$8,908.15	$22,879.56	$22,879.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,201.14 / $24,201.14 / $29,750.55	Professional		$24,201.14	$24,201.14	$29,750.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,316.18 / $9,316.18 / $9,316.18	Professional		$9,316.18	$9,316.18	$9,316.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,277.01 / $4,183.96 / $4,816.75	Facility		$1,277.01	$4,183.96	$4,816.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,991.56 / $1,991.56 / $4,709.20	Professional		$1,991.56	$1,991.56	$4,709.20
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,091.44 / $9,091.44 / $9,091.44	Professional		$9,091.44	$9,091.44	$9,091.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,405.01 / $2,388.52 / $3,853.40	Professional		$1,405.01	$2,388.52	$3,853.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,861.96 / $2,221.79 / $4,582.55	Professional		$1,861.96	$2,221.79	$4,582.55