Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,358.07 / $7,358.07 / $35,347.50	Facility		$7,358.07	$7,358.07	$35,347.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,665.46 / $7,358.07 / $35,347.50	Professional		$5,665.46	$7,358.07	$35,347.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,587.54 / $18,780.98 / $38,888.76	Facility		$5,587.54	$18,780.98	$38,888.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,030.02 / $7,450.05 / $13,049.63	Professional		$7,030.02	$7,450.05	$13,049.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $14,504.23 / $25,900.41	Facility		$98.20	$14,504.23	$25,900.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $16,255.17 / $37,863.74	Professional		$100.00	$16,255.17	$37,863.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,730.10 / $9,077.06 / $9,077.06	Facility		$5,730.10	$9,077.06	$9,077.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $6,626.25 / $9,349.37	Professional		$6,626.25	$6,626.25	$9,349.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,546.50 / $5,455.80 / $13,476.24	Professional		$4,546.50	$5,455.80	$13,476.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,350.68 / $8,575.79 / $18,621.72	Professional		$7,350.68	$8,575.79	$18,621.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $28,484.68 / $65,339.36 / $65,339.36	Facility		$28,484.68	$65,339.36	$65,339.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $81,347.50 / $81,347.50 / $93,875.25	Professional		$81,347.50	$81,347.50	$93,875.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $27,368.46 / $27,368.46 / $27,368.46	Professional		$27,368.46	$27,368.46	$27,368.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,945.77 / $10,831.08 / $12,863.69	Facility		$3,945.77	$10,831.08	$12,863.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,626.25 / $9,077.06 / $12,265.17	Professional		$6,626.25	$9,077.06	$12,265.17
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $23,123.55 / $23,123.55 / $23,123.55	Professional		$23,123.55	$23,123.55	$23,123.55
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,546.50 / $7,729.05 / $9,800.90	Professional		$4,546.50	$7,729.05	$9,800.90
United Facility/Professional Professional Modifier Low / Median / High Price $5,753.17 / $6,111.95 / $11,850.06	Professional		$5,753.17	$6,111.95	$11,850.06