Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,605.86 / $2,605.86 / $10,733.00	Facility		$2,605.86	$2,605.86	$10,733.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,636.02 / $2,605.86 / $10,733.00	Professional		$1,636.02	$2,605.86	$10,733.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.03 / $4,835.96 / $11,808.30	Facility		$134.03	$4,835.96	$11,808.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,053.24 / $3,186.25 / $4,839.99	Professional		$3,053.24	$3,186.25	$4,839.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,236.30 / $8,722.49	Facility		$92.60	$2,236.30	$8,722.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,935.76 / $11,497.05	Professional		$100.00	$4,935.76	$11,497.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $2,381.07 / $2,955.19	Facility		$2,381.07	$2,381.07	$2,955.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $1,738.18 / $2,452.50	Professional		$1,738.18	$1,738.18	$2,452.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,975.98 / $3,719.97 / $4,463.96	Professional		$2,975.98	$3,719.97	$4,463.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,231.98 / $2,603.98 / $5,654.35	Professional		$2,231.98	$2,603.98	$5,654.35
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,403.10 / $17,752.32 / $17,752.32	Facility		$6,403.10	$17,752.32	$17,752.32
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,227.03 / $19,227.03 / $27,899.78	Professional		$19,227.03	$19,227.03	$27,899.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,854.86 / $7,854.86 / $7,854.86	Professional		$7,854.86	$7,854.86	$7,854.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,381.07 / $3,347.97 / $3,905.97	Facility		$2,381.07	$3,347.97	$3,905.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,738.18 / $2,381.07 / $3,540.72	Professional		$1,738.18	$2,381.07	$3,540.72
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,021.29 / $7,021.29 / $7,021.29	Professional		$7,021.29	$7,021.29	$7,021.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,975.98 / $2,975.98 / $2,975.98	Professional		$2,975.98	$2,975.98	$2,975.98
United Facility/Professional Professional Modifier Low / Median / High Price $1,599.29 / $1,839.29 / $3,599.42	Professional		$1,599.29	$1,839.29	$3,599.42