Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,685.69 / $2,685.69 / $17,202.40	Facility		$2,685.69	$2,685.69	$17,202.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,090.50 / $2,685.69 / $17,202.40	Professional		$2,090.50	$2,685.69	$17,202.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,039.45 / $8,401.93 / $18,925.81	Facility		$2,039.45	$8,401.93	$18,925.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,684.65 / $2,731.85 / $4,983.43	Professional		$2,684.65	$2,731.85	$4,983.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,058.71 / $12,604.85	Facility		$97.00	$7,058.71	$12,604.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $7,910.84 / $18,426.99	Professional		$100.00	$7,910.84	$18,426.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,788.65 / $3,813.78 / $3,813.78	Facility		$2,788.65	$3,813.78	$3,813.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $2,784.06 / $3,928.19	Professional		$2,784.06	$2,784.06	$3,928.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,468.22 / $1,761.86 / $6,558.42	Professional		$1,468.22	$1,761.86	$6,558.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,577.32 / $4,173.54 / $9,062.54	Professional		$3,577.32	$4,173.54	$9,062.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,877.82 / $28,320.45 / $28,320.45	Facility		$10,877.82	$28,320.45	$28,320.45
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,618.56 / $28,618.56 / $40,706.10	Professional		$28,618.56	$28,618.56	$40,706.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,788.36 / $9,788.36 / $9,788.36	Professional		$9,788.36	$9,788.36	$9,788.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,440.20 / $5,067.87 / $5,962.20	Facility		$1,440.20	$5,067.87	$5,962.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,784.06 / $3,813.78 / $5,308.43	Professional		$2,784.06	$3,813.78	$5,308.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,253.43 / $11,253.43 / $11,253.43	Professional		$11,253.43	$11,253.43	$11,253.43
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,468.22 / $2,495.96 / $4,769.76	Professional		$1,468.22	$2,495.96	$4,769.76
United Facility/Professional Professional Modifier Low / Median / High Price $2,122.88 / $2,382.10 / $5,507.24	Professional		$2,122.88	$2,382.10	$5,507.24