Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,188.93 / $7,188.93 / $34,534.90	Facility		$7,188.93	$7,188.93	$34,534.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,233.27 / $7,188.93 / $34,534.90	Professional		$5,233.27	$7,188.93	$34,534.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,459.09 / $18,349.25 / $37,994.82	Facility		$5,459.09	$18,349.25	$37,994.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,289.70 / $7,312.49 / $11,675.41	Professional		$6,289.70	$7,312.49	$11,675.41
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $14,170.82 / $25,305.03	Facility		$97.00	$14,170.82	$25,305.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $15,881.51 / $36,993.36	Professional		$100.00	$15,881.51	$36,993.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,598.38 / $8,121.18 / $8,121.18	Facility		$5,598.38	$8,121.18	$8,121.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $14,554.13	Professional		$5,928.46	$5,928.46	$14,554.13
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,404.17 / $5,285.00 / $13,166.46	Professional		$4,404.17	$5,285.00	$13,166.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7,181.71 / $8,378.66 / $18,193.66	Professional		$7,181.71	$8,378.66	$18,193.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $25,485.03 / $63,837.40 / $63,837.40	Facility		$25,485.03	$63,837.40	$63,837.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $79,477.56 / $79,477.56 / $89,771.33	Professional		$79,477.56	$79,477.56	$89,771.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $25,722.29 / $25,722.29 / $25,722.29	Professional		$25,722.29	$25,722.29	$25,722.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,855.07 / $10,582.10 / $12,547.46	Facility		$3,855.07	$10,582.10	$12,547.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,928.46 / $5,928.46 / $12,061.29	Professional		$5,928.46	$5,928.46	$12,061.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $22,592.01 / $22,592.01 / $22,592.01	Professional		$22,592.01	$22,592.01	$22,592.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,404.17 / $7,487.09 / $9,575.61	Professional		$4,404.17	$7,487.09	$9,575.61
United Facility/Professional Professional Modifier Low / Median / High Price $5,620.92 / $5,971.46 / $12,076.28	Professional		$5,620.92	$5,971.46	$12,076.28