Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,037.55 / $2,037.55 / $11,198.00	Facility		$2,037.55	$2,037.55	$11,198.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.70 / $2,037.55 / $11,198.00	Professional		$1,584.70	$2,037.55	$11,198.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.27 / $5,623.55 / $12,319.90	Facility		$1,547.27	$5,623.55	$12,319.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,063.02 / $2,072.57 / $4,000.36	Professional		$2,063.02	$2,072.57	$4,000.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,594.91 / $8,205.20	Facility		$97.00	$4,594.91	$8,205.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,149.62 / $11,995.18	Professional		$100.00	$5,149.62	$11,995.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.29 / $2,782.58 / $2,782.58	Facility		$1,815.29	$2,782.58	$2,782.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $4,986.75	Professional		$2,031.28	$2,031.28	$4,986.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,730.58 / $2,076.69 / $4,269.25	Professional		$1,730.58	$2,076.69	$4,269.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,328.67 / $2,716.80 / $5,899.33	Professional		$2,328.67	$2,716.80	$5,899.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,731.95 / $18,435.41 / $18,435.41	Facility		$8,731.95	$18,435.41	$18,435.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $20,910.48 / $20,910.48 / $25,972.65	Professional		$20,910.48	$20,910.48	$25,972.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,420.03 / $7,420.03 / $7,420.03	Professional		$7,420.03	$7,420.03	$7,420.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,092.64 / $3,371.25 / $3,937.55	Facility		$1,092.64	$3,371.25	$3,937.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,031.28 / $2,031.28 / $4,020.79	Professional		$2,031.28	$2,031.28	$4,020.79
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,325.51 / $7,325.51 / $7,325.51	Professional		$7,325.51	$7,325.51	$7,325.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,730.58 / $2,941.99 / $3,104.91	Professional		$1,730.58	$2,941.99	$3,104.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,610.56 / $1,741.64 / $3,499.14	Professional		$1,610.56	$1,741.64	$3,499.14