Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,194.12 / $2,194.12 / $11,442.80	Facility		$2,194.12	$2,194.12	$11,442.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,788.48 / $2,194.12 / $11,442.80	Professional		$1,788.48	$2,194.12	$11,442.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,666.16 / $6,055.66 / $12,589.24	Facility		$1,666.16	$6,055.66	$12,589.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,982.25 / $2,207.84 / $3,778.95	Professional		$1,982.25	$2,207.84	$3,778.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,695.37 / $8,384.58	Facility		$97.00	$4,695.37	$8,384.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,262.20 / $12,257.41	Professional		$100.00	$5,262.20	$12,257.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,854.97 / $2,282.71 / $2,282.71	Facility		$1,854.97	$2,282.71	$2,282.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $4,710.75	Professional		$1,666.39	$1,666.39	$4,710.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,470.62 / $1,764.74 / $4,362.59	Professional		$1,470.62	$1,764.74	$4,362.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,379.59 / $2,776.19 / $6,028.30	Professional		$2,379.59	$2,776.19	$6,028.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,826.50 / $19,065.24 / $19,065.24	Facility		$6,826.50	$19,065.24	$19,065.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,393.65 / $20,393.65 / $30,341.85	Professional		$20,393.65	$20,393.65	$30,341.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,374.22 / $8,374.22 / $8,374.22	Professional		$8,374.22	$8,374.22	$8,374.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,176.59 / $3,472.76 / $4,084.99	Facility		$1,176.59	$3,472.76	$4,084.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,666.39 / $1,666.39 / $3,873.04	Professional		$1,666.39	$1,666.39	$3,873.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,485.64 / $7,485.64 / $7,485.64	Professional		$7,485.64	$7,485.64	$7,485.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,470.62 / $2,500.05 / $3,172.79	Professional		$1,470.62	$2,500.05	$3,172.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,982.23 / $1,982.23 / $1,982.23	Facility		$1,982.23	$1,982.23	$1,982.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,734.32 / $2,038.15 / $4,181.08	Professional		$1,734.32	$2,038.15	$4,181.08