Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,844.39 / $1,844.39 / $9,593.95	Facility		$1,844.39	$1,844.39	$9,593.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,487.61 / $1,844.39 / $9,593.95	Professional		$1,487.61	$1,844.39	$9,593.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.59 / $5,090.43 / $10,555.12	Facility		$1,400.59	$5,090.43	$10,555.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,867.45 / $1,876.10 / $3,697.29	Professional		$1,867.45	$1,876.10	$3,697.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $3,936.72 / $7,029.85	Facility		$98.20	$3,936.72	$7,029.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,411.95 / $10,276.93	Professional		$100.00	$4,411.95	$10,276.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,555.25 / $2,571.77 / $2,571.77	Facility		$1,555.25	$2,571.77	$2,571.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $1,877.39 / $2,648.92	Professional		$1,877.39	$1,877.39	$2,648.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,255.80 / $1,506.96 / $3,657.70	Professional		$1,255.80	$1,506.96	$3,657.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.11 / $2,327.63 / $5,054.27	Professional		$1,995.11	$2,327.63	$5,054.27
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,678.97 / $16,090.64 / $16,090.64	Facility		$6,678.97	$16,090.64	$16,090.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,470.80 / $17,890.11 / $23,031.75	Professional		$17,470.80	$17,890.11	$23,031.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,967.35 / $6,967.35 / $6,967.35	Professional		$6,967.35	$6,967.35	$6,967.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $989.06 / $2,914.19 / $3,398.71	Facility		$989.06	$2,914.19	$3,398.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,877.39 / $2,571.77 / $3,297.74	Professional		$1,877.39	$2,571.77	$3,297.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,276.16 / $6,276.16 / $6,276.16	Professional		$6,276.16	$6,276.16	$6,276.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,255.80 / $2,134.86 / $2,660.14	Professional		$1,255.80	$2,134.86	$2,660.14
United Facility/Professional Professional Modifier Low / Median / High Price $1,442.10 / $1,644.10 / $3,158.82	Professional		$1,442.10	$1,644.10	$3,158.82