Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,772.69 / $1,772.69 / $9,399.85	Facility		$1,772.69	$1,772.69	$9,399.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.23 / $1,772.69 / $9,399.85	Professional		$1,380.23	$1,772.69	$9,399.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,346.14 / $4,892.55 / $10,341.58	Facility		$1,346.14	$4,892.55	$10,341.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,790.67 / $1,790.67 / $3,659.88	Professional		$1,790.67	$1,790.67	$3,659.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $3,857.07 / $6,887.62	Facility		$97.00	$3,857.07	$6,887.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $4,322.70 / $10,069.00	Professional		$100.00	$4,322.70	$10,069.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,523.80 / $2,253.75 / $2,659.82	Facility		$1,523.80	$2,253.75	$2,659.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $1,915.69 / $2,321.36	Professional		$1,915.69	$1,915.69	$2,321.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,606.33 / $3,257.91 / $3,909.49	Professional		$2,606.33	$3,257.91	$3,909.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,954.75 / $2,280.54 / $4,952.02	Professional		$1,954.75	$2,280.54	$4,952.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $7,988.76 / $15,475.07 / $15,475.07	Facility		$7,988.76	$15,475.07	$15,475.07
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,294.04 / $17,709.08 / $25,931.10	Professional		$17,294.04	$17,709.08	$25,931.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,236.05 / $6,236.05 / $6,236.05	Professional		$6,236.05	$6,236.05	$6,236.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $950.61 / $2,829.91 / $3,257.91	Facility		$950.61	$2,829.91	$3,257.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,915.69 / $2,253.75 / $2,956.02	Professional		$1,915.69	$2,253.75	$2,956.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $6,149.18 / $6,149.18 / $6,149.18	Professional		$6,149.18	$6,149.18	$6,149.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.04 / $1,610.84 / $3,257.91	Professional		$1,386.04	$1,610.84	$3,257.91