Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $43,651.58	Facility		$5,495.41	$5,495.41	$43,651.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,495.41 / $38,018.94	Professional		$4,466.84	$5,495.41	$38,018.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,370.32 / $22,908.68	Facility		$4,168.69	$5,370.32	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $12,589.25	Professional		$5,623.41	$5,623.41	$12,589.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $17,378.01 / $23,442.29	Facility		$100.00	$17,378.01	$23,442.29
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $19,054.61 / $32,359.37	Professional		$9,772.37	$19,054.61	$32,359.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,606.93	Professional		$4,897.79	$4,897.79	$6,606.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $12,302.69	Professional		$5,370.32	$6,760.83	$12,302.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $16,218.10	Professional		$5,888.44	$9,120.11	$16,218.10
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47,863.01 / $47,863.01 / $47,863.01	Facility		$47,863.01	$47,863.01	$47,863.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $51,286.14 / $75,857.76 / $75,857.76	Professional		$51,286.14	$75,857.76	$75,857.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,549.93 / $12,882.50	Facility		$3,090.30	$9,549.93	$12,882.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $9,772.37	Professional		$4,897.79	$4,897.79	$9,772.37
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Professional		$19,054.61	$19,054.61	$19,054.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $9,120.11	Professional		$5,370.32	$8,128.31	$9,120.11
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $6,025.60 / $12,589.25	Facility		$758.58	$6,025.60	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $10,232.93	Professional		$4,265.80	$5,495.41	$10,232.93