Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,434.85 / $2,434.85 / $13,645.40	Facility		$2,434.85	$2,434.85	$13,645.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,934.33 / $2,434.85 / $13,645.40	Professional		$1,934.33	$2,434.85	$13,645.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,282.67 / $7,250.11 / $15,012.41	Facility		$2,282.67	$7,250.11	$15,012.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,350.56 / $3,043.56 / $4,739.20	Professional		$2,350.56	$3,043.56	$4,739.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,599.16 / $9,998.51	Facility		$97.00	$5,599.16	$9,998.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,275.06 / $14,616.75	Professional		$100.00	$6,275.06	$14,616.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,001.57 / $3,001.57 / $4,091.11	Facility		$3,001.57	$3,001.57	$4,091.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $2,191.15 / $3,199.83	Professional		$2,191.15	$2,191.15	$3,199.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,908.66 / $3,490.39 / $5,202.30	Professional		$2,908.66	$3,490.39	$5,202.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,837.62 / $3,310.55 / $7,188.63	Professional		$2,837.62	$3,310.55	$7,188.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,344.70 / $21,089.02 / $22,464.46	Facility		$10,344.70	$21,089.02	$22,464.46
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,129.32 / $26,129.32 / $30,206.70	Professional		$26,129.32	$26,129.32	$30,206.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,057.14 / $9,057.14 / $9,057.14	Professional		$9,057.14	$9,057.14	$9,057.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,899.65 / $4,622.17 / $4,965.83	Facility		$2,899.65	$4,622.17	$4,965.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,191.15 / $3,001.57 / $4,729.35	Professional		$2,191.15	$3,001.57	$4,729.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,926.52 / $8,926.52 / $8,926.52	Professional		$8,926.52	$8,926.52	$8,926.52
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,908.66 / $3,783.49 / $4,256.42	Professional		$2,908.66	$3,783.49	$4,256.42
United Facility/Professional Professional Modifier Low / Median / High Price $1,859.15 / $2,285.81 / $4,576.12	Professional		$1,859.15	$2,285.81	$4,576.12