Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,352.62 / $3,352.62 / $20,167.30	Facility		$3,352.62	$3,352.62	$20,167.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,704.26 / $3,352.62 / $20,167.30	Professional		$2,704.26	$3,352.62	$20,167.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,545.90 / $9,938.68 / $22,187.79	Facility		$2,545.90	$9,938.68	$22,187.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,164.74 / $3,643.96 / $5,874.61	Professional		$3,164.74	$3,643.96	$5,874.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $8,275.33 / $14,777.37	Facility		$97.00	$8,275.33	$14,777.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,274.31 / $21,602.97	Professional		$100.00	$9,274.31	$21,602.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,269.29 / $4,052.23 / $4,052.23	Facility		$3,269.29	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $2,958.13 / $4,173.80	Professional		$2,958.13	$2,958.13	$4,173.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,736.33 / $4,483.60 / $7,688.80	Professional		$3,736.33	$4,483.60	$7,688.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,193.89 / $4,892.87 / $10,624.53	Professional		$4,193.89	$4,892.87	$10,624.53
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,823.06 / $33,201.65 / $33,201.65	Facility		$12,823.06	$33,201.65	$33,201.65
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36,484.17 / $36,484.17 / $41,865.68	Professional		$36,484.17	$36,484.17	$41,865.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $14,252.56 / $14,252.56 / $14,252.56	Professional		$14,252.56	$14,252.56	$14,252.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,797.85 / $6,071.53 / $7,015.39	Facility		$1,797.85	$6,071.53	$7,015.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $4,052.23 / $6,989.82	Professional		$2,958.13	$4,052.23	$6,989.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,193.03 / $13,193.03 / $13,193.03	Professional		$13,193.03	$13,193.03	$13,193.03
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,736.33 / $5,591.86 / $5,604.50	Professional		$3,736.33	$5,591.86	$5,604.50
United Facility/Professional Professional Modifier Low / Median / High Price $2,650.05 / $3,355.98 / $6,802.84	Professional		$2,650.05	$3,355.98	$6,802.84