Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,694.05 / $2,694.05 / $14,955.60	Facility		$2,694.05	$2,694.05	$14,955.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,204.03 / $2,694.05 / $14,955.60	Professional		$2,204.03	$2,694.05	$14,955.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,045.80 / $7,481.84 / $16,453.91	Facility		$2,045.80	$7,481.84	$16,453.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,391.94 / $2,694.05 / $4,673.78	Professional		$2,391.94	$2,694.05	$4,673.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $6,136.76 / $10,958.50	Facility		$97.00	$6,136.76	$10,958.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $6,877.59 / $16,020.20	Professional		$100.00	$6,877.59	$16,020.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,424.42 / $2,802.84 / $4,224.71	Facility		$2,424.42	$2,802.84	$4,224.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,382.41 / $2,886.93	Professional		$2,382.41	$2,382.41	$2,886.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,146.78 / $5,183.47 / $6,220.18	Professional		$4,146.78	$5,183.47	$6,220.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,110.09 / $3,628.44 / $7,878.89	Professional		$3,110.09	$3,628.44	$7,878.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,201.91 / $24,621.53 / $24,621.53	Facility		$10,201.91	$24,621.53	$24,621.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $26,401.10 / $26,401.10 / $41,251.73	Professional		$26,401.10	$26,401.10	$41,251.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $9,958.65 / $9,958.65 / $9,958.65	Professional		$9,958.65	$9,958.65	$9,958.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,444.68 / $4,502.49 / $5,183.47	Facility		$1,444.68	$4,502.49	$5,183.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,382.41 / $2,802.84 / $4,709.00	Professional		$2,382.41	$2,802.84	$4,709.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $9,783.60 / $9,783.60 / $9,783.60	Professional		$9,783.60	$9,783.60	$9,783.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,129.48 / $2,423.54 / $5,183.47	Professional		$2,129.48	$2,423.54	$5,183.47