Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,224.32 / $2,224.32 / $11,872.60	Facility		$2,224.32	$2,224.32	$11,872.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,661.92 / $2,224.32 / $11,872.60	Professional		$1,661.92	$2,224.32	$11,872.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.09 / $6,139.00 / $13,062.05	Facility		$1,689.09	$6,139.00	$13,062.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,112.19 / $2,262.55 / $3,920.81	Professional		$2,112.19	$2,262.55	$3,920.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,871.71 / $8,699.49	Facility		$97.00	$4,871.71	$8,699.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,459.84 / $12,717.77	Professional		$100.00	$5,459.84	$12,717.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,924.64 / $2,970.85 / $2,970.85	Facility		$1,924.64	$2,970.85	$2,970.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,168.71 / $3,167.07	Professional		$2,168.71	$2,168.71	$3,167.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,062.10 / $2,474.52 / $4,526.43	Professional		$2,062.10	$2,474.52	$4,526.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,468.96 / $2,880.46 / $6,254.71	Professional		$2,468.96	$2,880.46	$6,254.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,558.34 / $19,545.97 / $19,545.97	Facility		$8,558.34	$19,545.97	$19,545.97
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,162.56 / $24,162.56 / $28,780.73	Professional		$24,162.56	$24,162.56	$28,780.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,654.31 / $7,654.31 / $7,654.31	Professional		$7,654.31	$7,654.31	$7,654.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,192.80 / $3,606.33 / $4,170.57	Facility		$1,192.80	$3,606.33	$4,170.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,168.71 / $2,970.85 / $4,060.86	Professional		$2,168.71	$2,970.85	$4,060.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,766.80 / $7,766.80 / $7,766.80	Professional		$7,766.80	$7,766.80	$7,766.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,062.10 / $3,291.95 / $3,291.95	Professional		$2,062.10	$3,291.95	$3,291.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,763.33 / $2,103.28 / $5,530.52	Professional		$1,763.33	$2,103.28	$5,530.52