Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $38,904.51	Facility		$4,786.30	$4,786.30	$38,904.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,897.79 / $33,884.42	Professional		$3,467.37	$4,897.79	$33,884.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $19,952.62	Facility		$3,630.78	$4,677.35	$19,952.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $10,964.78	Professional		$4,897.79	$4,897.79	$10,964.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $15,488.17 / $20,892.96	Facility		$100.00	$15,488.17	$20,892.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $16,982.44 / $28,840.32	Professional		$8,709.64	$16,982.44	$28,840.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $6,606.93 / $6,606.93	Facility		$4,168.69	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,606.93	Professional		$4,786.30	$4,786.30	$6,606.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,168.69 / $10,964.78	Professional		$3,388.44	$4,168.69	$10,964.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,128.31 / $14,454.40	Professional		$5,370.32	$8,128.31	$14,454.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $42,657.95 / $42,657.95 / $42,657.95	Facility		$42,657.95	$42,657.95	$42,657.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $48,977.88 / $60,255.96 / $60,255.96	Professional		$48,977.88	$60,255.96	$60,255.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,128.31 / $11,220.18	Facility		$2,691.53	$8,128.31	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,120.11	Professional		$4,786.30	$4,786.30	$9,120.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,011.87 / $8,128.31	Professional		$3,388.44	$5,011.87	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,248.07 / $10,964.78	Facility		$660.69	$5,248.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,786.30 / $9,120.11	Professional		$3,801.89	$4,786.30	$9,120.11