Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,658.08 / $5,658.08 / $27,910.20	Facility		$5,658.08	$5,658.08	$27,910.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,540.10 / $5,658.08 / $27,910.20	Professional		$4,540.10	$5,658.08	$27,910.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,296.60 / $14,829.40 / $30,706.43	Facility		$4,296.60	$14,829.40	$30,706.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,387.30 / $6,543.68 / $10,000.31	Professional		$5,387.30	$6,543.68	$10,000.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $11,452.50 / $20,450.90	Facility		$97.00	$11,452.50	$20,450.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $12,835.03 / $29,897.08	Professional		$100.00	$12,835.03	$29,897.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,524.47 / $7,503.37 / $7,503.37	Facility		$4,524.47	$7,503.37	$7,503.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $5,477.46 / $7,998.97	Professional		$5,477.46	$5,477.46	$7,998.97
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,188.31 / $5,025.97 / $10,640.80	Professional		$4,188.31	$5,025.97	$10,640.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,804.07 / $6,771.42 / $14,703.64	Professional		$5,804.07	$6,771.42	$14,703.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,065.07 / $48,813.24 / $48,813.24	Facility		$18,065.07	$48,813.24	$48,813.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54,698.83 / $54,698.83 / $70,654.88	Professional		$54,698.83	$54,698.83	$70,654.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $21,293.71 / $21,293.71 / $21,293.71	Professional		$21,293.71	$21,293.71	$21,293.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,034.15 / $8,477.83 / $10,157.12	Facility		$3,034.15	$8,477.83	$10,157.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,477.46 / $7,503.37 / $10,193.39	Professional		$5,477.46	$7,503.37	$10,193.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18,258.25 / $18,258.25 / $18,258.25	Professional		$18,258.25	$18,258.25	$18,258.25
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,188.31 / $7,120.13 / $7,738.76	Professional		$4,188.31	$7,120.13	$7,738.76
United Facility/Professional Professional Modifier Low / Median / High Price $4,423.97 / $4,825.97 / $9,673.45	Professional		$4,423.97	$4,825.97	$9,673.45