Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,554.10 / $5,554.10 / $29,466.60	Facility		$5,554.10	$5,554.10	$29,466.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,066.13 / $5,554.10 / $29,466.60	Professional		$4,066.13	$5,554.10	$29,466.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,217.64 / $15,329.05 / $32,418.68	Facility		$4,217.64	$15,329.05	$32,418.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,412.74 / $5,623.53 / $10,047.52	Professional		$5,412.74	$5,623.53	$10,047.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $12,091.11 / $21,591.27	Facility		$97.00	$12,091.11	$21,591.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $13,550.74 / $31,564.21	Professional		$100.00	$13,550.74	$31,564.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,776.77 / $7,261.93 / $7,261.93	Facility		$4,776.77	$7,261.93	$7,261.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $12,525.00	Professional		$5,301.21	$5,301.21	$12,525.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,830.58 / $4,596.70 / $11,234.15	Professional		$3,830.58	$4,596.70	$11,234.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,127.72 / $7,149.00 / $15,523.55	Professional		$6,127.72	$7,149.00	$15,523.55
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $21,931.69 / $48,511.09 / $48,511.09	Facility		$21,931.69	$48,511.09	$48,511.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $52,297.82 / $52,297.82 / $69,356.55	Professional		$52,297.82	$52,297.82	$69,356.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $19,038.90 / $19,038.90 / $19,038.90	Professional		$19,038.90	$19,038.90	$19,038.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,978.39 / $8,871.14 / $10,212.86	Facility		$2,978.39	$8,871.14	$10,212.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,301.21 / $5,301.21 / $9,995.56	Professional		$5,301.21	$5,301.21	$9,995.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19,276.40 / $19,276.40 / $19,276.40	Professional		$19,276.40	$19,276.40	$19,276.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,830.58 / $6,511.99 / $8,170.29	Professional		$3,830.58	$6,511.99	$8,170.29
United Facility/Professional Professional Modifier Low / Median / High Price $4,385.72 / $4,694.37 / $9,701.89	Professional		$4,385.72	$4,694.37	$9,701.89