Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,740.27 / $3,740.27 / $23,957.20	Facility		$3,740.27	$3,740.27	$23,957.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,921.84 / $3,740.27 / $23,957.20	Professional		$2,921.84	$3,740.27	$23,957.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,840.27 / $11,701.08 / $26,357.32	Facility		$2,840.27	$11,701.08	$26,357.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,381.69 / $3,804.46 / $6,277.32	Professional		$3,381.69	$3,804.46	$6,277.32
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $9,830.42 / $17,554.32	Facility		$97.00	$9,830.42	$17,554.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $11,017.14 / $25,662.64	Professional		$100.00	$11,017.14	$25,662.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,883.65 / $4,366.38 / $4,438.46	Facility		$3,883.65	$4,366.38	$4,438.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $3,187.46 / $4,497.37	Professional		$3,187.46	$3,187.46	$4,497.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,083.60 / $2,500.32 / $9,133.69	Professional		$2,083.60	$2,500.32	$9,133.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,982.01 / $5,812.35 / $12,621.09	Professional		$4,982.01	$5,812.35	$12,621.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,702.11 / $33,390.44 / $39,440.91	Facility		$13,702.11	$33,390.44	$39,440.91
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $45,658.26 / $46,754.06 / $49,888.58	Professional		$45,658.26	$46,754.06	$49,888.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,881.94 / $13,881.94 / $13,881.94	Professional		$13,881.94	$13,881.94	$13,881.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,005.72 / $6,935.09 / $8,424.03	Facility		$2,005.72	$6,935.09	$8,424.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,187.46 / $4,366.38 / $7,312.14	Professional		$3,187.46	$4,366.38	$7,312.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,672.28 / $15,672.28 / $15,672.28	Professional		$15,672.28	$15,672.28	$15,672.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,083.60 / $3,542.12 / $6,642.68	Professional		$2,083.60	$3,542.12	$6,642.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,924.46 / $3,744.01 / $8,081.24	Professional		$2,924.46	$3,744.01	$8,081.24