Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,742.31 / $2,742.31 / $17,565.09	Facility		$2,742.31	$2,742.31	$17,565.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,042.58 / $2,742.31 / $17,565.09	Professional		$2,042.58	$2,742.31	$17,565.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,082.44 / $8,579.07 / $19,324.82	Facility		$2,082.44	$8,579.07	$19,324.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,776.59 / $2,776.59 / $5,353.67	Professional		$2,776.59	$2,776.59	$5,353.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,207.54 / $12,870.61	Facility		$97.00	$7,207.54	$12,870.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $8,077.62 / $18,815.46	Professional		$100.00	$8,077.62	$18,815.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,847.44 / $2,853.06 / $3,254.22	Facility		$2,847.44	$2,853.06	$3,254.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,082.73 / $2,938.65	Professional		$2,082.73	$2,082.73	$2,938.65
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,411.38 / $2,893.66 / $6,696.69	Professional		$2,411.38	$2,893.66	$6,696.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,652.74 / $4,261.53 / $9,253.61	Professional		$3,652.74	$4,261.53	$9,253.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,685.96 / $28,917.53 / $28,917.53	Facility		$11,685.96	$28,917.53	$28,917.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,317.74 / $30,317.74 / $34,244.40	Professional		$30,317.74	$30,317.74	$34,244.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,253.95 / $10,253.95 / $10,253.95	Professional		$10,253.95	$10,253.95	$10,253.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,470.57 / $5,174.72 / $6,087.90	Facility		$1,470.57	$5,174.72	$6,087.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,082.73 / $2,853.06 / $5,619.12	Professional		$2,082.73	$2,853.06	$5,619.12
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,490.69 / $11,490.69 / $11,490.69	Professional		$11,490.69	$11,490.69	$11,490.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,411.38 / $4,099.35 / $4,870.32	Professional		$2,411.38	$4,099.35	$4,870.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,167.63 / $2,495.41 / $5,783.82	Professional		$2,167.63	$2,495.41	$5,783.82