Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $53,703.18	Facility		$7,413.10	$7,413.10	$53,703.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $46,773.51	Professional		$5,495.41	$7,413.10	$46,773.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $7,079.46 / $29,512.09	Facility		$5,623.41	$7,079.46	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $16,595.87	Professional		$7,413.10	$7,413.10	$16,595.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $21,379.62 / $28,840.32	Facility		$100.00	$21,379.62	$28,840.32
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $22,908.68 / $39,810.72	Professional		$11,748.98	$22,908.68	$39,810.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $9,120.11 / $9,120.11	Facility		$5,754.40	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $9,120.11	Professional		$6,606.93	$6,606.93	$9,120.11
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,623.41 / $15,135.61	Professional		$4,570.88	$5,623.41	$15,135.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $11,220.18 / $19,952.62	Professional		$7,413.10	$11,220.18	$19,952.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $66,069.34 / $66,069.34 / $66,069.34	Facility		$66,069.34	$66,069.34	$66,069.34
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $81,283.05 / $93,325.43 / $93,325.43	Professional		$81,283.05	$93,325.43	$93,325.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Professional		$13,489.63	$13,489.63	$13,489.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $12,302.69 / $15,848.93	Facility		$4,168.69	$12,302.69	$15,848.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $12,882.50	Professional		$6,606.93	$6,606.93	$12,882.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Professional		$22,908.68	$22,908.68	$22,908.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,760.83 / $11,220.18	Professional		$4,570.88	$6,760.83	$11,220.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $8,128.31 / $16,595.87	Facility		$1,000.00	$8,128.31	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,244.36 / $12,589.25	Professional		$5,754.40	$7,244.36	$12,589.25