Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $41,686.94	Facility		$5,623.41	$5,623.41	$41,686.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,623.41 / $37,153.52	Professional		$4,570.88	$5,623.41	$37,153.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $22,908.68	Facility		$4,265.80	$5,495.41	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $10,715.19	Professional		$6,606.93	$6,606.93	$10,715.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $16,982.44 / $22,908.68	Facility		$100.00	$16,982.44	$22,908.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $18,197.01 / $30,902.95	Professional		$9,332.54	$18,197.01	$30,902.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,585.78 / $7,585.78	Facility		$4,570.88	$7,585.78	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $7,585.78	Professional		$5,495.41	$5,495.41	$7,585.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $11,748.98	Professional		$4,168.69	$5,248.07	$11,748.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $8,912.51 / $15,488.17	Professional		$5,888.44	$8,912.51	$15,488.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $48,977.88 / $48,977.88 / $48,977.88	Facility		$48,977.88	$48,977.88	$48,977.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $54,954.09 / $70,794.58 / $70,794.58	Professional		$54,954.09	$70,794.58	$70,794.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Professional		$10,471.29	$10,471.29	$10,471.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $9,332.54 / $12,302.69	Facility		$3,162.28	$9,332.54	$12,302.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $10,232.93	Professional		$5,495.41	$5,495.41	$10,232.93
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Professional		$18,197.01	$18,197.01	$18,197.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,309.57 / $8,912.51	Professional		$4,168.69	$6,309.57	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $6,165.95 / $12,882.50	Facility		$776.25	$6,165.95	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,623.41 / $9,772.37	Professional		$4,365.16	$5,623.41	$9,772.37