Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,823.59 / $2,823.59 / $17,949.30	Facility		$2,823.59	$2,823.59	$17,949.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,058.30 / $2,823.59 / $17,949.30	Professional		$2,058.30	$2,823.59	$17,949.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,144.17 / $8,766.76 / $19,747.61	Facility		$2,144.17	$8,766.76	$19,747.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,858.89 / $2,872.13 / $5,460.30	Professional		$2,858.89	$2,872.13	$5,460.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,365.20 / $13,152.15	Facility		$97.00	$7,365.20	$13,152.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $8,254.33 / $19,227.12	Professional		$100.00	$8,254.33	$19,227.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,909.73 / $3,798.08 / $3,798.08	Facility		$2,909.73	$3,798.08	$3,798.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $2,772.60 / $4,048.94	Professional		$2,772.60	$2,772.60	$4,048.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,362.08 / $2,834.50 / $6,843.20	Professional		$2,362.08	$2,834.50	$6,843.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,732.65 / $4,354.76 / $9,456.06	Professional		$3,732.65	$4,354.76	$9,456.06
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,918.72 / $29,550.18 / $29,550.18	Facility		$11,918.72	$29,550.18	$29,550.18
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $31,028.33 / $31,028.33 / $47,012.63	Professional		$31,028.33	$31,028.33	$47,012.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,637.58 / $9,637.58 / $9,637.58	Professional		$9,637.58	$9,637.58	$9,637.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,514.15 / $5,376.47 / $6,221.09	Facility		$1,514.15	$5,376.47	$6,221.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,772.60 / $3,798.08 / $5,921.33	Professional		$2,772.60	$3,798.08	$5,921.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,742.07 / $11,742.07 / $11,742.07	Professional		$11,742.07	$11,742.07	$11,742.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,362.08 / $4,015.54 / $4,976.87	Professional		$2,362.08	$4,015.54	$4,976.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,231.88 / $2,826.42 / $6,276.58	Professional		$2,231.88	$2,826.42	$6,276.58