Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $23,988.33	Facility		$4,466.84	$10,715.19	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $16,595.87	Professional		$4,168.69	$5,128.61	$16,595.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,481.54 / $18,620.87	Facility		$6,918.31	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,888.44 / $10,964.78	Professional		$4,570.88	$5,888.44	$10,964.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $14,791.08	Facility		$61.66	$100.00	$14,791.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $11,748.98	Professional		$4,265.80	$6,165.95	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $724.44 / $1,023.29	Facility		$616.60	$724.44	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $10,715.19	Professional		$3,715.35	$5,623.41	$10,715.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $6,025.60	Professional		$2,344.23	$3,548.13	$6,025.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $9,120.11	Professional		$3,890.45	$4,677.35	$9,120.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $74,131.02	Facility		$54.95	$56.23	$74,131.02
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $33,113.11 / $40,738.03 / $40,738.03	Professional		$33,113.11	$40,738.03	$40,738.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,623.41 / $9,549.93	Facility		$4,265.80	$5,623.41	$9,549.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,623.41 / $11,748.98	Professional		$3,388.44	$5,623.41	$11,748.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,981.07 / $5,248.07	Professional		$2,951.21	$3,981.07	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,495.41 / $17,378.01	Facility		$1,584.89	$5,495.41	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,011.87 / $9,549.93	Professional		$3,715.35	$5,011.87	$9,549.93