Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,707.50 / $3,707.50 / $23,747.30	Facility		$3,707.50	$3,707.50	$23,747.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,817.11 / $3,707.50 / $23,747.30	Professional		$2,817.11	$3,707.50	$23,747.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,815.39 / $11,598.58 / $26,126.43	Facility		$2,815.39	$11,598.58	$26,126.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,753.85 / $3,772.23 / $6,994.16	Professional		$3,753.85	$3,772.23	$6,994.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $9,744.29 / $17,400.54	Facility		$97.00	$9,744.29	$17,400.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $10,920.64 / $25,437.80	Professional		$100.00	$10,920.64	$25,437.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,849.63 / $4,865.01 / $4,865.01	Facility		$3,849.63	$4,865.01	$4,865.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $3,551.46 / $5,010.96	Professional		$3,551.46	$3,551.46	$5,010.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,943.93 / $4,732.72 / $9,053.67	Professional		$3,943.93	$4,732.72	$9,053.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,938.37 / $5,761.43 / $12,510.53	Professional		$4,938.37	$5,761.43	$12,510.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $14,759.34 / $33,007.53 / $39,095.40	Facility		$14,759.34	$33,007.53	$39,095.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46,658.93 / $47,778.75 / $47,778.75	Professional		$46,658.93	$47,778.75	$47,778.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,190.60 / $13,190.60 / $13,190.60	Professional		$13,190.60	$13,190.60	$13,190.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,988.15 / $7,113.16 / $8,350.24	Facility		$1,988.15	$7,113.16	$8,350.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,551.46 / $4,865.01 / $7,834.03	Professional		$3,551.46	$4,865.01	$7,834.03
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,534.97 / $15,534.97 / $15,534.97	Professional		$15,534.97	$15,534.97	$15,534.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,943.93 / $6,584.49 / $6,584.49	Professional		$3,943.93	$6,584.49	$6,584.49
United Facility/Professional Facility Modifier Low / Median / High Price $5,320.94 / $5,320.94 / $5,320.94	Facility		$5,320.94	$5,320.94	$5,320.94
United Facility/Professional Professional Modifier Low / Median / High Price $2,898.84 / $3,312.13 / $8,230.61	Professional		$2,898.84	$3,312.13	$8,230.61