Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,084.95 / $3,084.95 / $17,765.40	Facility		$3,084.95	$3,084.95	$17,765.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,393.50 / $3,084.95 / $17,765.40	Professional		$2,393.50	$3,084.95	$17,765.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,985.24 / $9,439.21 / $19,545.28	Facility		$2,985.24	$9,439.21	$19,545.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $699.53 / $3,569.66 / $5,358.99	Professional		$699.53	$3,569.66	$5,358.99
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,289.74 / $13,017.40	Facility		$97.00	$7,289.74	$13,017.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $8,169.76 / $19,030.09	Professional		$100.00	$8,169.76	$19,030.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $3,728.42 / $5,186.87	Facility		$3,728.42	$3,728.42	$5,186.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $2,721.75 / $3,840.27	Professional		$2,721.75	$2,721.75	$3,840.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,925.88 / $6,157.35 / $7,388.82	Professional		$4,925.88	$6,157.35	$7,388.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,694.41 / $4,310.14 / $9,359.17	Professional		$3,694.41	$4,310.14	$9,359.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,697.59 / $26,807.65 / $29,247.41	Facility		$11,697.59	$26,807.65	$29,247.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,647.77 / $30,647.77 / $38,967.68	Professional		$30,647.77	$30,647.77	$38,967.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $11,731.65 / $11,731.65 / $11,731.65	Professional		$11,731.65	$11,731.65	$11,731.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,728.42 / $5,542.35 / $6,157.35	Facility		$3,728.42	$5,542.35	$6,157.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,721.75 / $3,728.42 / $5,542.35	Professional		$2,721.75	$3,728.42	$5,542.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,621.76 / $11,621.76 / $11,621.76	Professional		$11,621.76	$11,621.76	$11,621.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,925.88 / $4,925.88 / $4,925.88	Professional		$4,925.88	$4,925.88	$4,925.88
United Facility/Professional Professional Modifier Low / Median / High Price $2,438.46 / $2,975.98 / $5,560.02	Professional		$2,438.46	$2,975.98	$5,560.02