Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.54 / $1,896.54 / $9,838.32	Facility		$1,896.54	$1,896.54	$9,838.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,534.45 / $1,896.54 / $9,838.32	Professional		$1,534.45	$1,896.54	$9,838.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,440.19 / $5,227.35 / $10,824.01	Facility		$1,440.19	$5,227.35	$10,824.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,878.20 / $1,929.14 / $3,486.45	Professional		$1,878.20	$1,929.14	$3,486.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,036.99 / $7,208.90	Facility		$97.00	$4,036.99	$7,208.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,524.34 / $10,538.68	Professional		$100.00	$4,524.34	$10,538.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,594.87 / $2,425.11 / $2,425.11	Facility		$1,594.87	$2,425.11	$2,425.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $1,770.33 / $2,497.86	Professional		$1,770.33	$1,770.33	$2,497.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,514.98 / $1,817.98 / $3,750.88	Professional		$1,514.98	$1,817.98	$3,750.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,045.93 / $2,386.92 / $5,183.03	Professional		$2,045.93	$2,386.92	$5,183.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,298.10 / $16,380.05 / $16,380.05	Facility		$6,298.10	$16,380.05	$16,380.05
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,267.33 / $19,267.33 / $24,191.25	Professional		$19,267.33	$19,267.33	$24,191.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,277.00 / $7,277.00 / $7,277.00	Professional		$7,277.00	$7,277.00	$7,277.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,017.02 / $2,988.42 / $3,549.76	Facility		$1,017.02	$2,988.42	$3,549.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,770.33 / $2,425.11 / $3,517.38	Professional		$1,770.33	$2,425.11	$3,517.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,436.01 / $6,436.01 / $6,436.01	Professional		$6,436.01	$6,436.01	$6,436.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,514.98 / $2,575.46 / $2,727.91	Professional		$1,514.98	$2,575.46	$2,727.91
United Facility/Professional Professional Modifier Low / Median / High Price $1,482.88 / $1,609.17 / $3,391.76	Professional		$1,482.88	$1,609.17	$3,391.76