Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,810.89 / $4,810.89 / $25,818.80	Facility		$4,810.89	$4,810.89	$25,818.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,583.34 / $4,810.89 / $25,818.80	Professional		$3,583.34	$4,810.89	$25,818.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,653.27 / $13,277.81 / $28,405.48	Facility		$3,653.27	$13,277.81	$28,405.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,871.02 / $4,893.57 / $9,404.86	Professional		$4,871.02	$4,893.57	$9,404.86
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $10,594.32 / $18,918.43	Facility		$98.20	$10,594.32	$18,918.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $11,873.26 / $27,656.77	Professional		$100.00	$11,873.26	$27,656.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,185.43 / $6,541.83 / $6,541.83	Facility		$4,185.43	$6,541.83	$6,541.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $4,775.54 / $6,738.08	Professional		$4,775.54	$4,775.54	$6,738.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,360.79 / $4,032.95 / $9,843.44	Professional		$3,360.79	$4,032.95	$9,843.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,369.15 / $6,264.01 / $13,601.84	Professional		$5,369.15	$6,264.01	$13,601.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,989.41 / $42,519.53 / $42,519.53	Facility		$16,989.41	$42,519.53	$42,519.53
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $48,489.51 / $48,489.51 / $60,075.68	Professional		$48,489.51	$48,489.51	$60,075.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $18,030.73 / $18,030.73 / $18,030.73	Professional		$18,030.73	$18,030.73	$18,030.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,579.84 / $7,772.95 / $8,948.58	Facility		$2,579.84	$7,772.95	$8,948.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,775.54 / $6,541.83 / $8,889.49	Professional		$4,775.54	$6,541.83	$8,889.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16,890.11 / $16,890.11 / $16,890.11	Professional		$16,890.11	$16,890.11	$16,890.11
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,360.79 / $5,713.34 / $7,158.86	Professional		$3,360.79	$5,713.34	$7,158.86
United Facility/Professional Facility Modifier Low / Median / High Price $9,078.09 / $10,680.11 / $10,680.11	Facility		$9,078.09	$10,680.11	$10,680.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,761.56 / $4,464.35 / $10,644.70	Professional		$3,761.56	$4,464.35	$10,644.70