Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,625.09 / $2,625.09 / $15,376.50	Facility		$2,625.09	$2,625.09	$15,376.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,955.27 / $2,625.09 / $15,376.50	Professional		$1,955.27	$2,625.09	$15,376.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,993.43 / $7,692.43 / $16,917.05	Facility		$1,993.43	$7,692.43	$16,917.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,670.21 / $2,670.21 / $5,066.10	Professional		$2,670.21	$2,670.21	$5,066.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $6,309.47 / $11,266.92	Facility		$97.00	$6,309.47	$11,266.92
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $7,071.18 / $16,471.14	Professional		$100.00	$7,071.18	$16,471.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,492.65 / $3,523.90 / $3,523.90	Facility		$2,492.65	$3,523.90	$3,523.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $2,572.44 / $3,629.62	Professional		$2,572.44	$2,572.44	$3,629.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,060.63 / $2,472.76 / $5,862.32	Professional		$2,060.63	$2,472.76	$5,862.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,197.63 / $3,730.57 / $8,100.66	Professional		$3,197.63	$3,730.57	$8,100.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,058.28 / $25,314.56 / $25,314.56	Facility		$11,058.28	$25,314.56	$25,314.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,366.97 / $26,366.97 / $36,855.00	Professional		$26,366.97	$26,366.97	$36,855.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,960.05 / $8,960.05 / $8,960.05	Professional		$8,960.05	$8,960.05	$8,960.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,407.71 / $4,605.81 / $5,401.40	Facility		$1,407.71	$4,605.81	$5,401.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,572.44 / $3,523.90 / $5,070.00	Professional		$2,572.44	$3,523.90	$5,070.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,059.00 / $10,059.00 / $10,059.00	Professional		$10,059.00	$10,059.00	$10,059.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,060.63 / $3,503.07 / $4,263.50	Professional		$2,060.63	$3,503.07	$4,263.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,052.52 / $2,627.72 / $5,156.68	Professional		$2,052.52	$2,627.72	$5,156.68