Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,609.73 / $8,609.73 / $41,360.30	Facility		$8,609.73	$8,609.73	$41,360.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,335.83 / $8,609.73 / $41,360.30	Professional		$6,335.83	$8,609.73	$41,360.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,538.04 / $21,975.72 / $45,503.94	Facility		$6,538.04	$21,975.72	$45,503.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,294.08 / $8,609.76 / $13,539.80	Professional		$7,294.08	$8,609.76	$13,539.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $16,971.49 / $30,306.24	Facility		$97.00	$16,971.49	$30,306.24
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $19,020.27 / $44,304.61	Professional		$100.00	$19,020.27	$44,304.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,704.83 / $9,418.01 / $9,418.01	Facility		$6,704.83	$9,418.01	$9,418.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $6,875.15 / $10,040.07	Professional		$6,875.15	$6,875.15	$10,040.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,262.83 / $6,315.40 / $15,768.62	Professional		$5,262.83	$6,315.40	$15,768.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,601.07 / $10,034.58 / $21,789.37	Professional		$8,601.07	$10,034.58	$21,789.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,554.61 / $76,453.96 / $76,453.96	Facility		$29,554.61	$76,453.96	$76,453.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95,185.18 / $95,185.18 / $107,513.33	Professional		$95,185.18	$95,185.18	$107,513.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32,277.86 / $32,277.86 / $32,277.86	Professional		$32,277.86	$32,277.86	$32,277.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,616.97 / $12,563.31 / $15,051.87	Facility		$4,616.97	$12,563.31	$15,051.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,875.15 / $9,418.01 / $13,644.38	Professional		$6,875.15	$9,418.01	$13,644.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $27,057.01 / $27,057.01 / $27,057.01	Professional		$27,057.01	$27,057.01	$27,057.01
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,262.83 / $8,946.81 / $11,468.09	Professional		$5,262.83	$8,946.81	$11,468.09
United Facility/Professional Facility Modifier Low / Median / High Price $7,164.85 / $7,164.85 / $7,164.85	Facility		$7,164.85	$7,164.85	$7,164.85
United Facility/Professional Professional Modifier Low / Median / High Price $6,731.82 / $7,337.07 / $14,335.11	Professional		$6,731.82	$7,337.07	$14,335.11