Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,439.35 / $2,439.35 / $12,803.30	Facility		$2,439.35	$2,439.35	$12,803.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,938.87 / $2,439.35 / $12,803.30	Professional		$1,938.87	$2,439.35	$12,803.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.38 / $6,732.48 / $14,086.02	Facility		$1,852.38	$6,732.48	$14,086.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,954.30 / $2,731.58 / $4,228.21	Professional		$1,954.30	$2,731.58	$4,228.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,253.62 / $9,381.45	Facility		$97.00	$5,253.62	$9,381.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,887.84 / $13,714.76	Professional		$100.00	$5,887.84	$13,714.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,941.06 / $2,941.06 / $3,525.22	Facility		$2,941.06	$2,941.06	$3,525.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $5,270.63	Professional		$2,146.96	$2,146.96	$5,270.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,474.01 / $2,968.81 / $4,881.27	Professional		$2,474.01	$2,968.81	$4,881.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,662.51 / $3,106.26 / $6,745.03	Professional		$2,662.51	$3,106.26	$6,745.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,638.05 / $21,171.57 / $21,171.57	Facility		$7,638.05	$21,171.57	$21,171.57
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,889.87 / $22,889.87 / $33,281.40	Professional		$22,889.87	$22,889.87	$33,281.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,369.93 / $9,369.93 / $9,369.93	Professional		$9,369.93	$9,369.93	$9,369.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,308.09 / $3,993.77 / $4,570.70	Facility		$1,308.09	$3,993.77	$4,570.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,146.96 / $2,146.96 / $4,333.52	Professional		$2,146.96	$2,146.96	$4,333.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,375.66 / $8,375.66 / $8,375.66	Professional		$8,375.66	$8,375.66	$8,375.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,474.01 / $3,550.02 / $3,711.02	Professional		$2,474.01	$3,550.02	$3,711.02
United Facility/Professional Professional Modifier Low / Median / High Price $1,907.29 / $2,194.09 / $4,437.52	Professional		$1,907.29	$2,194.09	$4,437.52