Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,324.72 / $6,324.72 / $30,415.80	Facility		$6,324.72	$6,324.72	$30,415.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,858.34 / $6,324.72 / $30,415.80	Professional		$4,858.34	$6,324.72	$30,415.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,802.84 / $16,160.66 / $33,462.99	Facility		$4,802.84	$16,160.66	$33,462.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,301.39 / $6,433.43 / $11,697.10	Professional		$6,301.39	$6,433.43	$11,697.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $12,480.64 / $22,286.85	Facility		$97.00	$12,480.64	$22,286.85
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $13,987.26 / $32,581.01	Professional		$100.00	$13,987.26	$32,581.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,930.66 / $8,136.27 / $8,136.27	Facility		$4,930.66	$8,136.27	$8,136.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $5,939.48 / $8,380.36	Professional		$5,939.48	$5,939.48	$8,380.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,950.33 / $4,740.39 / $11,596.04	Professional		$3,950.33	$4,740.39	$11,596.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,325.11 / $7,379.30 / $16,023.61	Professional		$6,325.11	$7,379.30	$16,023.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,532.39 / $56,163.20 / $56,163.20	Facility		$25,532.39	$56,163.20	$56,163.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $69,923.17 / $69,923.17 / $83,730.08	Professional		$69,923.17	$69,923.17	$83,730.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $24,193.46 / $24,193.46 / $24,193.46	Professional		$24,193.46	$24,193.46	$24,193.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,391.63 / $9,319.95 / $11,068.94	Facility		$3,391.63	$9,319.95	$11,068.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,939.48 / $8,136.27 / $11,065.15	Professional		$5,939.48	$8,136.27	$11,065.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19,897.36 / $19,897.36 / $19,897.36	Professional		$19,897.36	$19,897.36	$19,897.36
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,950.33 / $6,715.56 / $8,433.48	Professional		$3,950.33	$6,715.56	$8,433.48
United Facility/Professional Professional Modifier Low / Median / High Price $4,945.21 / $5,345.70 / $10,541.85	Professional		$4,945.21	$5,345.70	$10,541.85