Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,974.14 / $1,974.14 / $12,644.80	Facility		$1,974.14	$1,974.14	$12,644.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,505.49 / $1,974.14 / $12,644.80	Professional		$1,505.49	$1,974.14	$12,644.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,499.11 / $6,175.90 / $13,911.56	Facility		$1,499.11	$6,175.90	$13,911.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,806.41 / $2,055.03 / $3,443.72	Professional		$1,806.41	$2,055.03	$3,443.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,188.55 / $9,265.27	Facility		$97.00	$5,188.55	$9,265.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,814.92 / $13,544.86	Professional		$100.00	$5,814.92	$13,544.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,049.81 / $2,400.00 / $2,400.00	Facility		$2,049.81	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,752.00 / $2,814.37	Professional		$1,752.00	$1,752.00	$2,814.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,625.05 / $1,950.06 / $4,820.82	Professional		$1,625.05	$1,950.06	$4,820.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,629.54 / $3,067.79 / $6,661.49	Professional		$2,629.54	$3,067.79	$6,661.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,516.95 / $20,817.16 / $20,817.16	Facility		$7,516.95	$20,817.16	$20,817.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $21,693.67 / $21,693.67 / $25,111.05	Professional		$21,693.67	$21,693.67	$25,111.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,049.15 / $7,049.15 / $7,049.15	Professional		$7,049.15	$7,049.15	$7,049.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,058.63 / $3,660.38 / $4,382.56	Facility		$1,058.63	$3,660.38	$4,382.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,400.00 / $4,135.54	Professional		$1,752.00	$2,400.00	$4,135.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,271.92 / $8,271.92 / $8,271.92	Professional		$8,271.92	$8,271.92	$8,271.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,625.05 / $2,762.59 / $3,506.05	Professional		$1,625.05	$2,762.59	$3,506.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,543.55 / $1,763.61 / $4,421.64	Professional		$1,543.55	$1,763.61	$4,421.64