Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,530.96 / $2,530.96 / $12,158.50	Facility		$2,530.96	$2,530.96	$12,158.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,942.72 / $2,530.96 / $12,158.50	Professional		$1,942.72	$2,530.96	$12,158.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,921.95 / $6,460.09 / $13,376.56	Facility		$1,921.95	$6,460.09	$13,376.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,260.17 / $2,578.42 / $4,195.51	Professional		$2,260.17	$2,578.42	$4,195.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,989.01 / $8,908.95	Facility		$97.00	$4,989.01	$8,908.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $5,591.29 / $13,024.00	Professional		$100.00	$5,591.29	$13,024.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,741.63 / $2,741.63 / $3,371.89	Facility		$2,741.63	$2,741.63	$3,371.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,001.39 / $2,855.60	Professional		$2,001.39	$2,001.39	$2,855.60
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,349.42 / $2,819.30 / $4,635.42	Professional		$2,349.42	$2,819.30	$4,635.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,528.41 / $2,949.81 / $6,405.31	Professional		$2,528.41	$2,949.81	$6,405.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,978.54 / $21,030.00 / $21,030.00	Facility		$7,978.54	$21,030.00	$21,030.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $27,812.52 / $27,812.52 / $33,481.50	Professional		$27,812.52	$27,812.52	$33,481.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $11,518.31 / $11,518.31 / $11,518.31	Professional		$11,518.31	$11,518.31	$11,518.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,357.23 / $3,965.52 / $4,424.72	Facility		$1,357.23	$3,965.52	$4,424.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,001.39 / $2,741.63 / $4,214.02	Professional		$2,001.39	$2,741.63	$4,214.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,953.80 / $7,953.80 / $7,953.80	Professional		$7,953.80	$7,953.80	$7,953.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,349.42 / $3,371.22 / $3,524.13	Professional		$2,349.42	$3,371.22	$3,524.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,978.92 / $2,102.33 / $4,214.02	Professional		$1,978.92	$2,102.33	$4,214.02