Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,480.56 / $2,480.56 / $11,916.40	Facility		$2,480.56	$2,480.56	$11,916.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,901.20 / $2,480.56 / $11,916.40	Professional		$1,901.20	$2,480.56	$11,916.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,883.68 / $6,331.46 / $13,110.21	Facility		$1,883.68	$6,331.46	$13,110.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,209.10 / $2,542.58 / $4,100.70	Professional		$2,209.10	$2,542.58	$4,100.70
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,889.68 / $8,731.58	Facility		$97.00	$4,889.68	$8,731.58
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,479.95 / $12,764.66	Professional		$100.00	$5,479.95	$12,764.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,148.57 / $3,148.57 / $3,345.01	Facility		$3,148.57	$3,148.57	$3,345.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $2,298.46 / $3,356.53	Professional		$2,298.46	$2,298.46	$3,356.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,302.63 / $2,763.16 / $4,543.12	Professional		$2,302.63	$2,763.16	$4,543.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,478.07 / $2,891.08 / $6,277.77	Professional		$2,478.07	$2,891.08	$6,277.77
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,819.68 / $20,548.93 / $20,548.93	Facility		$7,819.68	$20,548.93	$20,548.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,258.76 / $27,258.76 / $35,284.12	Professional		$27,258.76	$27,258.76	$35,284.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $11,288.98 / $11,288.98 / $11,288.98	Professional		$11,288.98	$11,288.98	$11,288.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,330.20 / $3,854.77 / $4,351.30	Facility		$1,330.20	$3,854.77	$4,351.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,298.46 / $3,148.57 / $3,985.67	Professional		$2,298.46	$3,148.57	$3,985.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,795.42 / $7,795.42 / $7,795.42	Professional		$7,795.42	$7,795.42	$7,795.42
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,302.63 / $3,304.09 / $3,453.95	Professional		$2,302.63	$3,304.09	$3,453.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,939.52 / $2,096.59 / $4,130.10	Professional		$1,939.52	$2,096.59	$4,130.10