Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,131.93 / $3,131.93 / $20,060.59	Facility		$3,131.93	$3,131.93	$20,060.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,287.37 / $3,131.93 / $20,060.59	Professional		$2,287.37	$3,131.93	$20,060.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,378.36 / $9,797.94 / $22,070.40	Facility		$2,378.36	$9,797.94	$22,070.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,900.72 / $3,171.15 / $5,384.52	Professional		$2,900.72	$3,171.15	$5,384.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $8,231.53 / $14,699.16	Facility		$97.00	$8,231.53	$14,699.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,225.24 / $21,488.67	Professional		$100.00	$9,225.24	$21,488.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,251.99 / $3,745.37 / $3,745.37	Facility		$3,251.99	$3,745.37	$3,745.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $6,712.13	Professional		$2,734.12	$2,734.12	$6,712.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,578.12 / $3,093.74 / $7,648.12	Professional		$2,578.12	$3,093.74	$7,648.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,171.70 / $4,866.99 / $10,568.32	Professional		$4,171.70	$4,866.99	$10,568.32
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $10,177.57 / $27,462.75 / $33,025.99	Facility		$10,177.57	$27,462.75	$33,025.99
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34,404.35 / $35,230.05 / $39,263.18	Professional		$34,404.35	$35,230.05	$39,263.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,710.16 / $10,710.16 / $10,710.16	Professional		$10,710.16	$10,710.16	$10,710.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,679.50 / $5,789.81 / $6,952.84	Facility		$1,679.50	$5,789.81	$6,952.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,734.12 / $2,734.12 / $6,421.24	Professional		$2,734.12	$2,734.12	$6,421.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,123.23 / $13,123.23 / $13,123.23	Professional		$13,123.23	$13,123.23	$13,123.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,578.12 / $4,382.80 / $5,562.27	Professional		$2,578.12	$4,382.80	$5,562.27
United Facility/Professional Professional Modifier Low / Median / High Price $2,448.80 / $2,715.95 / $6,269.09	Professional		$2,448.80	$2,715.95	$6,269.09