Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,042.88 / $2,042.88 / $10,722.30	Facility		$2,042.88	$2,042.88	$10,722.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,623.74 / $2,042.88 / $10,722.30	Professional		$1,623.74	$2,042.88	$10,722.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,551.38 / $5,638.49 / $11,796.59	Facility		$1,551.38	$5,638.49	$11,796.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,907.60 / $2,068.50 / $3,541.02	Professional		$1,907.60	$2,068.50	$3,541.02
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,399.72 / $7,856.67	Facility		$97.00	$4,399.72	$7,856.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,930.87 / $11,485.63	Professional		$100.00	$4,930.87	$11,485.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,738.18 / $2,463.07 / $2,463.07	Facility		$1,738.18	$2,463.07	$2,463.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $1,798.04 / $2,625.75	Professional		$1,798.04	$1,798.04	$2,625.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,986.49 / $2,383.79 / $4,087.91	Professional		$1,986.49	$2,383.79	$4,087.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,229.77 / $2,601.40 / $5,648.75	Professional		$2,229.77	$2,601.40	$5,648.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,396.68 / $17,730.55 / $17,730.55	Facility		$6,396.68	$17,730.55	$17,730.55
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,169.56 / $19,169.56 / $27,872.10	Professional		$19,169.56	$19,169.56	$27,872.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,846.96 / $7,846.96 / $7,846.96	Professional		$7,846.96	$7,846.96	$7,846.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,095.49 / $3,254.10 / $3,827.79	Facility		$1,095.49	$3,254.10	$3,827.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,798.04 / $2,463.07 / $3,537.21	Professional		$1,798.04	$2,463.07	$3,537.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,014.32 / $7,014.32 / $7,014.32	Professional		$7,014.32	$7,014.32	$7,014.32
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,986.49 / $2,973.02 / $2,979.74	Professional		$1,986.49	$2,973.02	$2,979.74
United Facility/Professional Professional Modifier Low / Median / High Price $1,597.30 / $1,854.01 / $3,716.28	Professional		$1,597.30	$1,854.01	$3,716.28