Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,840.72 / $4,840.72 / $24,030.80	Facility		$4,840.72	$4,840.72	$24,030.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,747.99 / $4,840.72 / $24,030.80	Professional		$3,747.99	$4,840.72	$24,030.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,675.92 / $12,768.14 / $26,438.30	Facility		$3,675.92	$12,768.14	$26,438.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,879.76 / $4,923.92 / $9,058.20	Professional		$4,879.76	$4,923.92	$9,058.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $9,860.64 / $17,608.28	Facility		$97.00	$9,860.64	$17,608.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $11,050.98 / $25,741.43	Professional		$100.00	$11,050.98	$25,741.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,895.58 / $6,300.68 / $6,300.68	Facility		$3,895.58	$6,300.68	$6,300.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $4,599.50 / $6,489.70	Professional		$4,599.50	$4,599.50	$6,489.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $4,410.00 / $9,161.75	Professional		$3,675.00	$4,410.00	$9,161.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,997.32 / $5,830.20 / $12,659.87	Professional		$4,997.32	$5,830.20	$12,659.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,363.20 / $42,111.30 / $42,111.30	Facility		$16,363.20	$42,111.30	$42,111.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $50,947.89 / $50,947.89 / $60,448.20	Professional		$50,947.89	$50,947.89	$60,448.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $19,358.06 / $19,358.06 / $19,358.06	Professional		$19,358.06	$19,358.06	$19,358.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,595.84 / $7,299.43 / $8,873.00	Facility		$2,595.84	$7,299.43	$8,873.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,599.50 / $6,300.68 / $9,245.67	Professional		$4,599.50	$6,300.68	$9,245.67
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $15,720.40 / $15,720.40 / $15,720.40	Professional		$15,720.40	$15,720.40	$15,720.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,675.00 / $6,247.50 / $6,663.09	Professional		$3,675.00	$6,247.50	$6,663.09
United Facility/Professional Professional Modifier Low / Median / High Price $3,784.89 / $4,118.10 / $8,059.76	Professional		$3,784.89	$4,118.10	$8,059.76