Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $8,251.10 / $20,132.40	Facility		$4,128.02	$8,251.10	$20,132.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,513.56 / $4,166.81 / $5,000.17	Professional		$3,513.56	$4,166.81	$5,000.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,379.42 / $6,593.69 / $14,780.79	Facility		$4,379.42	$6,593.69	$14,780.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.40 / $4,128.02 / $6,765.90	Professional		$223.40	$4,128.02	$6,765.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $4,634.26	Facility		$77.09	$100.00	$4,634.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $400.26 / $6,036.25 / $11,265.45	Professional		$400.26	$6,036.25	$11,265.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,894.36 / $3,894.36 / $4,128.02	Facility		$3,894.36	$3,894.36	$4,128.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,478.51	Professional		$4,128.02	$4,128.02	$4,478.51
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,988.33 / $3,989.64 / $5,386.01	Professional		$3,988.33	$3,989.64	$5,386.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,715.22 / $4,953.62 / $8,049.64	Professional		$3,715.22	$4,953.62	$8,049.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,305.24 / $19,941.65 / $20,640.09	Facility		$5,305.24	$19,941.65	$20,640.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,614.63 / $17,614.63 / $17,614.63	Professional		$17,614.63	$17,614.63	$17,614.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $8,178.76 / $8,178.76	Professional		$60.00	$8,178.76	$8,178.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $4,128.02 / $6,192.03	Facility		$123.09	$4,128.02	$6,192.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,971.39	Professional		$4,128.02	$4,128.02	$4,971.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82.66 / $82.66 / $82.66	Professional		$82.66	$82.66	$82.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,302.42 / $4,128.02 / $6,192.03	Professional		$3,302.42	$4,128.02	$6,192.03
United Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $6,061.34	Professional		$4,128.02	$4,128.02	$6,061.34