Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,443.31 / $2,443.31 / $13,977.20	Facility		$2,443.31	$2,443.31	$13,977.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,843.52 / $2,443.31 / $13,977.20	Professional		$1,843.52	$2,443.31	$13,977.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,855.39 / $6,992.41 / $15,377.58	Facility		$1,855.39	$6,992.41	$15,377.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,358.64 / $2,516.48 / $4,378.25	Professional		$2,358.64	$2,516.48	$4,378.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,735.33 / $10,241.66	Facility		$97.00	$5,735.33	$10,241.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,427.69 / $14,972.24	Professional		$100.00	$6,427.69	$14,972.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,265.82 / $3,364.97 / $3,364.97	Facility		$2,265.82	$3,364.97	$3,364.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $2,456.42 / $3,587.23	Professional		$2,456.42	$2,456.42	$3,587.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.30 / $1,611.96 / $5,328.84	Professional		$1,343.30	$1,611.96	$5,328.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,906.64 / $3,391.08 / $7,363.49	Professional		$2,906.64	$3,391.08	$7,363.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,556.83 / $23,010.90 / $23,010.90	Facility		$9,556.83	$23,010.90	$23,010.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,979.78 / $23,979.78 / $31,925.70	Professional		$23,979.78	$23,979.78	$31,925.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,631.91 / $8,631.91 / $8,631.91	Professional		$8,631.91	$8,631.91	$8,631.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,310.23 / $4,186.68 / $4,844.39	Facility		$1,310.23	$4,186.68	$4,844.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,456.42 / $3,364.97 / $4,610.97	Professional		$2,456.42	$3,364.97	$4,610.97
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,143.60 / $9,143.60 / $9,143.60	Professional		$9,143.60	$9,143.60	$9,143.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,343.30 / $2,283.61 / $3,875.52	Professional		$1,343.30	$2,283.61	$3,875.52
United Facility/Professional Professional Modifier Low / Median / High Price $1,910.39 / $2,274.94 / $4,597.58	Professional		$1,910.39	$2,274.94	$4,597.58