Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $26,915.35	Facility		$3,090.30	$3,090.30	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $23,442.29	Professional		$2,398.83	$3,090.30	$23,442.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,801.89 / $14,791.08	Facility		$2,951.21	$3,801.89	$14,791.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $6,918.31	Professional		$3,548.13	$3,548.13	$6,918.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $10,964.78 / $14,454.40	Facility		$100.00	$10,964.78	$14,454.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $11,481.54 / $19,952.62	Professional		$6,025.60	$11,481.54	$19,952.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,918.31 / $8,511.38	Professional		$5,011.87	$6,918.31	$8,511.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,623.41 / $10,000.00	Professional		$3,630.78	$5,623.41	$10,000.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Facility		$29,512.09	$29,512.09	$29,512.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $30,902.95 / $38,904.51 / $38,904.51	Professional		$30,902.95	$38,904.51	$38,904.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $6,309.57 / $7,943.28	Facility		$3,162.28	$6,309.57	$7,943.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $5,623.41	Professional		$2,691.53	$2,691.53	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Professional		$11,748.98	$11,748.98	$11,748.98
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,623.41	Professional		$5,011.87	$5,011.87	$5,623.41
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,388.44 / $6,918.31	Facility		$426.58	$3,388.44	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,090.30 / $6,165.95	Professional		$2,398.83	$3,090.30	$6,165.95