Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,904.14 / $3,904.14 / $20,032.70	Facility		$3,904.14	$3,904.14	$20,032.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,209.83 / $3,904.14 / $20,032.70	Professional		$3,209.83	$3,904.14	$20,032.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,964.71 / $10,643.85 / $22,039.64	Facility		$2,964.71	$10,643.85	$22,039.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,425.67 / $3,971.24 / $6,358.97	Professional		$3,425.67	$3,971.24	$6,358.97
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $8,220.07 / $14,678.70	Facility		$97.00	$8,220.07	$14,678.70
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,212.39 / $21,458.74	Professional		$100.00	$9,212.39	$21,458.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,423.18 / $4,423.18 / $6,023.75	Facility		$4,423.18	$4,423.18	$6,023.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $3,228.92 / $4,555.88	Professional		$3,228.92	$3,228.92	$4,555.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,870.97 / $4,645.16 / $7,637.47	Professional		$3,870.97	$4,645.16	$7,637.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,165.89 / $4,860.21 / $10,553.59	Professional		$4,165.89	$4,860.21	$10,553.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $12,307.35 / $33,517.87 / $33,517.87	Facility		$12,307.35	$33,517.87	$33,517.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,902.39 / $42,902.39 / $55,319.10	Professional		$42,902.39	$42,902.39	$55,319.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $17,767.65 / $17,767.65 / $17,767.65	Professional		$17,767.65	$17,767.65	$17,767.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,093.60 / $6,350.57 / $7,290.31	Facility		$2,093.60	$6,350.57	$7,290.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,228.92 / $4,423.18 / $6,615.36	Professional		$3,228.92	$4,423.18	$6,615.36
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,104.93 / $13,104.93 / $13,104.93	Professional		$13,104.93	$13,104.93	$13,104.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $3,870.97 / $5,554.52 / $5,806.46	Professional		$3,870.97	$5,554.52	$5,806.46
United Facility/Professional Professional Modifier Low / Median / High Price $2,998.38 / $3,306.68 / $6,718.16	Professional		$2,998.38	$3,306.68	$6,718.16