Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,032.26 / $2,032.26 / $9,762.78	Facility		$2,032.26	$2,032.26	$9,762.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,523.68 / $2,032.26 / $9,762.78	Professional		$1,523.68	$2,032.26	$9,762.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,543.25 / $5,187.20 / $10,740.85	Facility		$1,543.25	$5,187.20	$10,740.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,839.65 / $2,067.19 / $3,414.88	Professional		$1,839.65	$2,067.19	$3,414.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,005.99 / $7,153.55	Facility		$97.00	$4,005.99	$7,153.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,489.59 / $10,457.77	Professional		$100.00	$4,489.59	$10,457.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,582.62 / $2,375.33 / $2,375.33	Facility		$1,582.62	$2,375.33	$2,375.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $1,733.99 / $2,446.59	Professional		$1,733.99	$1,733.99	$2,446.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.88 / $1,538.26 / $3,722.06	Professional		$1,281.88	$1,538.26	$3,722.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,030.21 / $2,368.58 / $5,143.21	Professional		$2,030.21	$2,368.58	$5,143.21
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,406.46 / $16,837.56 / $16,837.56	Facility		$6,406.46	$16,837.56	$16,837.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $22,332.37 / $22,332.37 / $27,465.45	Professional		$22,332.37	$22,332.37	$27,465.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,248.75 / $9,248.75 / $9,248.75	Professional		$9,248.75	$9,248.75	$9,248.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,089.80 / $2,991.48 / $3,552.87	Facility		$1,089.80	$2,991.48	$3,552.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,733.99 / $2,375.32 / $3,383.69	Professional		$1,733.99	$2,375.32	$3,383.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,386.59 / $6,386.59 / $6,386.59	Professional		$6,386.59	$6,386.59	$6,386.59
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,281.88 / $2,179.19 / $2,706.95	Professional		$1,281.88	$2,179.19	$2,706.95
United Facility/Professional Facility Modifier Low / Median / High Price $3,834.85 / $4,511.59 / $4,511.59	Facility		$3,834.85	$4,511.59	$4,511.59
United Facility/Professional Professional Modifier Low / Median / High Price $1,588.99 / $1,717.68 / $3,413.88	Professional		$1,588.99	$1,717.68	$3,413.88