Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $26,302.68	Facility		$2,754.23	$2,754.23	$26,302.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $23,442.29	Professional		$1,995.26	$2,754.23	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $12,022.64	Facility		$2,089.30	$2,630.27	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $6,760.83	Professional		$2,818.38	$2,818.38	$6,760.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $10,715.19 / $14,454.40	Facility		$100.00	$10,715.19	$14,454.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $11,481.54 / $19,498.45	Professional		$5,888.44	$11,481.54	$19,498.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $3,548.13	Facility		$2,884.03	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,548.13	Professional		$2,570.40	$2,570.40	$3,548.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,715.35 / $7,413.10	Professional		$3,019.95	$3,715.35	$7,413.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $9,772.37	Professional		$3,715.35	$5,623.41	$9,772.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $28,840.32	Facility		$28,840.32	$28,840.32	$28,840.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $34,673.69 / $34,673.69	Professional		$30,902.95	$34,673.69	$34,673.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $7,413.10	Facility		$1,698.24	$5,248.07	$7,413.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,623.41	Professional		$2,570.40	$2,570.40	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Professional		$11,481.54	$11,481.54	$11,481.54
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $5,623.41	Professional		$3,019.95	$4,466.84	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,019.95 / $6,165.95	Facility		$380.19	$3,019.95	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $6,165.95	Professional		$2,137.96	$2,754.23	$6,165.95