Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,672.78 / $2,672.78 / $14,614.90	Facility		$2,672.78	$2,672.78	$14,614.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,060.84 / $2,672.78 / $14,614.90	Professional		$2,060.84	$2,672.78	$14,614.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,029.64 / $7,376.73 / $16,079.10	Facility		$2,029.64	$7,376.73	$16,079.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,237.00 / $2,704.43 / $4,264.85	Professional		$2,237.00	$2,704.43	$4,264.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,996.99 / $10,708.91	Facility		$97.00	$5,996.99	$10,708.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,720.93 / $15,655.33	Professional		$100.00	$6,720.93	$15,655.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,369.19 / $2,780.72 / $2,780.72	Facility		$2,369.19	$2,780.72	$2,780.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,029.93 / $2,964.38	Professional		$2,029.93	$2,029.93	$2,964.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,878.25 / $2,253.90 / $5,571.94	Professional		$1,878.25	$2,253.90	$5,571.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,039.24 / $3,545.78 / $7,699.41	Professional		$3,039.24	$3,545.78	$7,699.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,309.32 / $24,060.65 / $24,060.65	Facility		$9,309.32	$24,060.65	$24,060.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $29,548.98 / $29,548.98 / $43,828.28	Professional		$29,548.98	$29,548.98	$43,828.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,649.51 / $9,649.51 / $9,649.51	Professional		$9,649.51	$9,649.51	$9,649.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,433.28 / $4,450.14 / $5,133.89	Facility		$1,433.28	$4,450.14	$5,133.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,029.93 / $2,780.72 / $4,631.34	Professional		$2,029.93	$2,780.72	$4,631.34
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,560.78 / $9,560.78 / $9,560.78	Professional		$9,560.78	$9,560.78	$9,560.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,878.25 / $3,193.03 / $4,052.32	Professional		$1,878.25	$3,193.03	$4,052.32
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.81 / $2,504.54 / $4,901.27	Professional		$2,089.81	$2,504.54	$4,901.27