Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,902.58 / $2,902.58 / $18,591.59	Facility		$2,902.58	$2,902.58	$18,591.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,280.28 / $2,902.58 / $18,591.59	Professional		$2,280.28	$2,902.58	$18,591.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,204.15 / $9,080.45 / $20,454.21	Facility		$2,204.15	$9,080.45	$20,454.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,771.15 / $2,952.48 / $5,144.02	Professional		$2,771.15	$2,952.48	$5,144.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,628.76 / $13,622.79	Facility		$97.00	$7,628.76	$13,622.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $8,549.69 / $19,915.09	Professional		$100.00	$8,549.69	$19,915.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,013.85 / $3,578.08 / $3,578.08	Facility		$3,013.85	$3,578.08	$3,578.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $6,412.50	Professional		$2,612.00	$2,612.00	$6,412.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,219.48 / $3,863.38 / $7,088.06	Professional		$3,219.48	$3,863.38	$7,088.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,866.21 / $4,510.58 / $9,794.41	Professional		$3,866.21	$4,510.58	$9,794.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,804.75 / $25,854.57 / $30,607.53	Facility		$11,804.75	$25,854.57	$30,607.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $45,109.85 / $46,192.50 / $46,192.50	Professional		$45,109.85	$46,192.50	$46,192.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,907.17 / $9,907.17 / $9,907.17	Professional		$9,907.17	$9,907.17	$9,907.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,556.51 / $5,268.16 / $6,537.35	Facility		$1,556.51	$5,268.16	$6,537.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,612.00 / $2,612.00 / $5,477.14	Professional		$2,612.00	$2,612.00	$5,477.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,162.22 / $12,162.22 / $12,162.22	Professional		$12,162.22	$12,162.22	$12,162.22
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,219.48 / $5,154.95 / $5,154.95	Professional		$3,219.48	$5,154.95	$5,154.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,269.48 / $2,905.49 / $6,501.17	Professional		$2,269.48	$2,905.49	$6,501.17