Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,155.15 / $3,155.15 / $20,209.40	Facility		$3,155.15	$3,155.15	$20,209.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,299.98 / $3,155.15 / $20,209.40	Professional		$2,299.98	$3,155.15	$20,209.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,395.94 / $9,870.61 / $22,234.10	Facility		$2,395.94	$9,870.61	$22,234.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,054.08 / $3,194.59 / $5,669.21	Professional		$3,054.08	$3,194.59	$5,669.21
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $8,292.59 / $14,808.20	Facility		$98.20	$8,292.59	$14,808.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,293.67 / $21,648.08	Professional		$100.00	$9,293.67	$21,648.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,276.11 / $3,943.38 / $3,943.38	Facility		$3,276.11	$3,943.38	$3,943.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $2,878.67 / $4,061.68	Professional		$2,878.67	$2,878.67	$4,061.68
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,336.60 / $4,003.92 / $7,704.85	Professional		$3,336.60	$4,003.92	$7,704.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,202.64 / $4,903.09 / $10,646.70	Professional		$4,202.64	$4,903.09	$10,646.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $11,004.71 / $27,719.31 / $33,270.94	Facility		$11,004.71	$27,719.31	$33,270.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $34,789.14 / $35,624.07 / $41,956.35	Professional		$34,789.14	$35,624.07	$41,956.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,769.28 / $10,769.28 / $10,769.28	Professional		$10,769.28	$10,769.28	$10,769.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,691.96 / $5,850.19 / $7,004.41	Facility		$1,691.96	$5,850.19	$7,004.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,878.67 / $3,943.38 / $6,055.44	Professional		$2,878.67	$3,943.38	$6,055.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,220.57 / $13,220.57 / $13,220.57	Professional		$13,220.57	$13,220.57	$13,220.57
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,336.60 / $5,603.53 / $5,603.53	Professional		$3,336.60	$5,603.53	$5,603.53
United Facility/Professional Professional Modifier Low / Median / High Price $2,466.96 / $2,790.88 / $6,777.44	Professional		$2,466.96	$2,790.88	$6,777.44