Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,933.64 / $1,933.64 / $10,734.20	Facility		$1,933.64	$1,933.64	$10,734.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,581.94 / $1,933.64 / $10,734.20	Professional		$1,581.94	$1,933.64	$10,734.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,468.66 / $5,370.03 / $11,809.67	Facility		$1,468.66	$5,370.03	$11,809.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,716.79 / $1,970.30 / $3,354.57	Professional		$1,716.79	$1,970.30	$3,354.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $4,404.60 / $7,865.36	Facility		$97.00	$4,404.60	$7,865.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,936.34 / $11,498.39	Professional		$100.00	$4,936.34	$11,498.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,740.11 / $2,861.13 / $3,032.28	Facility		$1,740.11	$2,861.13	$3,032.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,431.96 / $2,946.96	Professional		$2,431.96	$2,431.96	$2,946.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,976.32 / $3,720.40 / $4,464.47	Professional		$2,976.32	$3,720.40	$4,464.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,232.23 / $2,604.28 / $5,655.01	Professional		$2,232.23	$2,604.28	$5,655.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,322.33 / $17,671.90 / $17,671.90	Facility		$7,322.33	$17,671.90	$17,671.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,949.15 / $18,949.15 / $29,608.05	Professional		$18,949.15	$18,949.15	$29,608.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $7,147.77 / $7,147.77 / $7,147.77	Professional		$7,147.77	$7,147.77	$7,147.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,036.91 / $3,231.63 / $3,720.40	Facility		$1,036.91	$3,231.63	$3,720.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,431.96 / $2,861.13 / $3,379.89	Professional		$2,431.96	$2,861.13	$3,379.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,022.10 / $7,022.10 / $7,022.10	Professional		$7,022.10	$7,022.10	$7,022.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,528.42 / $1,805.91 / $3,753.58	Professional		$1,528.42	$1,805.91	$3,753.58