Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,648.01 / $2,648.01 / $13,898.50	Facility		$2,648.01	$2,648.01	$13,898.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,104.71 / $2,648.01 / $13,898.50	Professional		$2,104.71	$2,648.01	$13,898.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,010.83 / $7,308.36 / $15,290.89	Facility		$2,010.83	$7,308.36	$15,290.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,472.65 / $2,965.25 / $4,589.93	Professional		$2,472.65	$2,965.25	$4,589.93
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,702.99 / $10,183.91	Facility		$97.00	$5,702.99	$10,183.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,391.46 / $14,887.85	Professional		$100.00	$6,391.46	$14,887.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,253.05 / $2,801.20 / $2,801.20	Facility		$2,253.05	$2,801.20	$2,801.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $5,721.75	Professional		$2,044.88	$2,044.88	$5,721.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,853.67 / $4,817.09 / $5,780.51	Professional		$3,853.67	$4,817.09	$5,780.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,890.25 / $3,371.96 / $7,321.98	Professional		$2,890.25	$3,371.96	$7,321.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,291.49 / $22,982.54 / $22,982.54	Facility		$8,291.49	$22,982.54	$22,982.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,847.51 / $24,847.51 / $36,128.18	Professional		$24,847.51	$24,847.51	$36,128.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,171.42 / $10,171.42 / $10,171.42	Professional		$10,171.42	$10,171.42	$10,171.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,420.00 / $4,218.01 / $4,961.67	Facility		$1,420.00	$4,218.01	$4,961.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,044.88 / $2,044.88 / $4,704.18	Professional		$2,044.88	$2,044.88	$4,704.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,092.07 / $9,092.07 / $9,092.07	Professional		$9,092.07	$9,092.07	$9,092.07
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,853.67 / $3,853.67 / $3,853.67	Professional		$3,853.67	$3,853.67	$3,853.67
United Facility/Professional Professional Modifier Low / Median / High Price $2,070.44 / $2,403.19 / $4,688.22	Professional		$2,070.44	$2,403.19	$4,688.22