Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,643.25 / $3,643.25 / $23,335.70	Facility		$3,643.25	$3,643.25	$23,335.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,659.57 / $3,643.25 / $23,335.70	Professional		$2,659.57	$3,643.25	$23,335.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,766.59 / $11,397.57 / $25,673.64	Facility		$2,766.59	$11,397.57	$25,673.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,364.07 / $3,688.79 / $6,244.62	Professional		$3,364.07	$3,688.79	$6,244.62
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $9,575.43 / $17,098.98	Facility		$97.00	$9,575.43	$17,098.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $10,731.36 / $24,996.95	Professional		$100.00	$10,731.36	$24,996.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,782.91 / $3,790.37 / $4,323.32	Facility		$3,782.91	$3,790.37	$4,323.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $2,766.97 / $3,904.08	Professional		$2,766.97	$2,766.97	$3,904.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,323.32 / $5,187.97 / $8,896.77	Professional		$4,323.32	$5,187.97	$8,896.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,852.78 / $5,661.58 / $12,293.71	Professional		$4,852.78	$5,661.58	$12,293.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,630.74 / $32,412.74 / $38,417.86	Facility		$13,630.74	$32,412.74	$38,417.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $51,633.18 / $52,872.39 / $52,872.39	Professional		$51,633.18	$52,872.39	$52,872.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $14,873.42 / $14,873.42 / $14,873.42	Professional		$14,873.42	$14,873.42	$14,873.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,953.69 / $7,025.40 / $8,205.50	Facility		$1,953.69	$7,025.40	$8,205.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,766.97 / $3,790.37 / $7,322.13	Professional		$2,766.97	$3,790.37	$7,322.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,265.72 / $15,265.72 / $15,265.72	Professional		$15,265.72	$15,265.72	$15,265.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,323.32 / $6,470.38 / $6,484.98	Professional		$4,323.32	$6,470.38	$6,484.98
United Facility/Professional Professional Modifier Low / Median / High Price $2,848.60 / $3,554.29 / $7,825.87	Professional		$2,848.60	$3,554.29	$7,825.87