Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.55 / $2,187.55 / $14,011.70	Facility		$2,187.55	$2,187.55	$14,011.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,678.50 / $2,187.55 / $14,011.70	Professional		$1,678.50	$2,187.55	$14,011.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,661.18 / $6,843.57 / $15,415.51	Facility		$1,661.18	$6,843.57	$15,415.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,214.90 / $2,225.15 / $4,516.41	Professional		$2,214.90	$2,225.15	$4,516.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,749.47 / $10,266.90	Facility		$97.00	$5,749.47	$10,266.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,443.56 / $15,009.19	Professional		$100.00	$6,443.56	$15,009.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,271.41 / $3,141.52 / $3,141.52	Facility		$2,271.41	$3,141.52	$3,141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $2,293.31 / $3,235.77	Professional		$2,293.31	$2,293.31	$3,235.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,894.54 / $2,273.44 / $5,341.99	Professional		$1,894.54	$2,273.44	$5,341.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,913.81 / $3,399.45 / $7,381.65	Professional		$2,913.81	$3,399.45	$7,381.65
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,858.39 / $23,067.66 / $23,067.66	Facility		$9,858.39	$23,067.66	$23,067.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,310.48 / $23,310.48 / $29,065.58	Professional		$23,310.48	$23,310.48	$29,065.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,859.24 / $7,859.24 / $7,859.24	Professional		$7,859.24	$7,859.24	$7,859.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,173.07 / $4,127.89 / $4,856.35	Facility		$1,173.07	$4,127.89	$4,856.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,293.31 / $3,141.52 / $4,406.43	Professional		$2,293.31	$3,141.52	$4,406.43
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,166.16 / $9,166.16 / $9,166.16	Professional		$9,166.16	$9,166.16	$9,166.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,894.54 / $3,220.72 / $3,885.08	Professional		$1,894.54	$3,220.72	$3,885.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,710.41 / $1,933.40 / $4,485.77	Professional		$1,710.41	$1,933.40	$4,485.77