Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,854.35 / $11,441.70 / $27,250.40	Facility		$4,854.35	$11,441.70	$27,250.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,678.89 / $4,854.35 / $11,469.20	Professional		$4,678.89	$4,854.35	$11,469.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $8,595.67 / $19,293.50	Facility		$4,971.34	$8,595.67	$19,293.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $9,612.00	Professional		$4,971.34	$4,971.34	$9,612.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $100.00 / $6,433.49	Facility		$77.09	$100.00	$6,433.49
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,263.77 / $5,263.77 / $11,728.73	Professional		$5,263.77	$5,263.77	$11,728.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Facility		$4,971.34	$4,971.34	$4,971.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $4,971.34	Professional		$4,971.34	$4,971.34	$4,971.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,166.29 / $5,166.29 / $6,199.55	Professional		$5,166.29	$5,166.29	$6,199.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.00 / $5,136.00 / $12,071.00	Professional		$801.00	$5,136.00	$12,071.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,060.60 / $24,957.02 / $25,866.89	Facility		$9,060.60	$24,957.02	$25,866.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $24,212.69 / $24,212.69 / $39,884.69	Professional		$24,212.69	$24,212.69	$39,884.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $11,226.29 / $11,226.29	Professional		$60.00	$11,226.29	$11,226.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,032.00 / $5,166.29 / $7,304.67	Facility		$4,032.00	$5,166.29	$7,304.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,971.34 / $4,971.34 / $6,092.33	Professional		$4,971.34	$4,971.34	$6,092.33
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,113.47 / $8,113.47 / $8,113.47	Professional		$8,113.47	$8,113.47	$8,113.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,166.29 / $6,716.18 / $7,749.44	Professional		$5,166.29	$6,716.18	$7,749.44
United Facility/Professional Facility Modifier Low / Median / High Price $13,044.07 / $13,746.97 / $13,746.97	Facility		$13,044.07	$13,746.97	$13,746.97
United Facility/Professional Professional Modifier Low / Median / High Price $4,873.85 / $4,873.85 / $8,700.95	Professional		$4,873.85	$4,873.85	$8,700.95