Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,748.86 / $2,748.86 / $17,607.00	Facility		$2,748.86	$2,748.86	$17,607.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,003.81 / $2,748.86 / $17,607.00	Professional		$2,003.81	$2,748.86	$17,607.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,087.42 / $8,599.53 / $19,370.91	Facility		$2,087.42	$8,599.53	$19,370.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,735.73 / $2,796.11 / $5,078.27	Professional		$2,735.73	$2,796.11	$5,078.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,224.73 / $12,901.29	Facility		$97.00	$7,224.73	$12,901.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $8,096.88 / $18,860.34	Professional		$100.00	$8,096.88	$18,860.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,854.23 / $3,532.34 / $3,532.34	Facility		$2,854.23	$3,532.34	$3,532.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $2,578.61 / $3,638.31	Professional		$2,578.61	$2,578.61	$3,638.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,990.12 / $3,588.14 / $6,712.66	Professional		$2,990.12	$3,588.14	$6,712.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,661.45 / $4,271.68 / $9,275.68	Professional		$3,661.45	$4,271.68	$9,275.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,498.16 / $24,019.87 / $28,986.50	Facility		$9,498.16	$24,019.87	$28,986.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,222.77 / $30,747.20 / $34,326.15	Professional		$30,222.77	$30,747.20	$34,326.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,382.48 / $9,382.48 / $9,382.48	Professional		$9,382.48	$9,382.48	$9,382.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,474.07 / $5,096.84 / $6,102.42	Facility		$1,474.07	$5,096.84	$6,102.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,578.61 / $3,532.34 / $5,432.29	Professional		$2,578.61	$3,532.34	$5,432.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,518.11 / $11,518.11 / $11,518.11	Professional		$11,518.11	$11,518.11	$11,518.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,990.12 / $4,881.93 / $4,881.93	Professional		$2,990.12	$4,881.93	$4,881.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,050.06 / $3,050.06 / $3,050.06	Facility		$3,050.06	$3,050.06	$3,050.06
United Facility/Professional Professional Modifier Low / Median / High Price $2,172.80 / $2,751.61 / $5,904.68	Professional		$2,172.80	$2,751.61	$5,904.68