Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,433.34 / $2,433.34 / $13,508.30	Facility		$2,433.34	$2,433.34	$13,508.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,990.74 / $2,433.34 / $13,508.30	Professional		$1,990.74	$2,433.34	$13,508.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,847.82 / $6,757.80 / $14,861.63	Facility		$1,847.82	$6,757.80	$14,861.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,160.46 / $2,478.96 / $4,221.47	Professional		$2,160.46	$2,478.96	$4,221.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $5,542.92 / $9,898.08	Facility		$97.00	$5,542.92	$9,898.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,212.04 / $14,469.93	Professional		$100.00	$6,212.04	$14,469.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,189.80 / $3,600.52 / $3,815.87	Facility		$2,189.80	$3,600.52	$3,815.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,060.44 / $3,708.54	Professional		$3,060.44	$3,060.44	$3,708.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,745.49 / $4,681.85 / $5,618.23	Professional		$3,745.49	$4,681.85	$5,618.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,809.12 / $3,277.30 / $7,116.43	Professional		$2,809.12	$3,277.30	$7,116.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,214.64 / $22,238.84 / $22,238.84	Facility		$9,214.64	$22,238.84	$22,238.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,846.16 / $23,846.16 / $37,259.62	Professional		$23,846.16	$23,846.16	$37,259.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,994.90 / $8,994.90 / $8,994.90	Professional		$8,994.90	$8,994.90	$8,994.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,304.88 / $4,066.78 / $4,681.85	Facility		$1,304.88	$4,066.78	$4,681.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,060.44 / $3,600.52 / $4,253.29	Professional		$3,060.44	$3,600.52	$4,253.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,836.83 / $8,836.83 / $8,836.83	Professional		$8,836.83	$8,836.83	$8,836.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,902.60 / $2,220.08 / $4,556.62	Professional		$1,902.60	$2,220.08	$4,556.62