Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,035.43 / $2,035.43 / $10,616.60	Facility		$2,035.43	$2,035.43	$10,616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,635.08 / $2,035.43 / $10,616.60	Professional		$1,635.08	$2,035.43	$10,616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,545.66 / $5,617.70 / $11,680.28	Facility		$1,545.66	$5,617.70	$11,680.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,888.80 / $2,060.88 / $3,506.12	Professional		$1,888.80	$2,060.88	$3,506.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,356.37 / $7,779.23	Facility		$97.00	$4,356.37	$7,779.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,882.26 / $11,372.41	Professional		$100.00	$4,882.26	$11,372.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.05 / $2,677.88 / $2,677.88	Facility		$1,721.05	$2,677.88	$2,677.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $1,954.85 / $2,854.76	Professional		$1,954.85	$1,954.85	$2,854.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,398.96 / $1,678.75 / $4,047.60	Professional		$1,398.96	$1,678.75	$4,047.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,207.78 / $2,575.75 / $5,593.05	Professional		$2,207.78	$2,575.75	$5,593.05
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,333.63 / $17,719.04 / $17,719.04	Facility		$6,333.63	$17,719.04	$17,719.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,980.66 / $18,980.66 / $28,066.73	Professional		$18,980.66	$18,980.66	$28,066.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,769.64 / $7,769.64 / $7,769.64	Professional		$7,769.64	$7,769.64	$7,769.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,091.50 / $3,196.23 / $3,790.07	Facility		$1,091.50	$3,196.23	$3,790.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,954.85 / $2,677.88 / $3,638.24	Professional		$1,954.85	$2,677.88	$3,638.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,945.17 / $6,945.17 / $6,945.17	Professional		$6,945.17	$6,945.17	$6,945.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,398.96 / $2,378.23 / $2,943.71	Professional		$1,398.96	$2,378.23	$2,943.71
United Facility/Professional Professional Modifier Low / Median / High Price $1,608.89 / $1,872.44 / $3,712.46	Professional		$1,608.89	$1,872.44	$3,712.46