Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,226.82 / $4,226.82 / $20,305.30	Facility		$4,226.82	$4,226.82	$20,305.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,455.87 / $4,226.82 / $20,305.30	Professional		$3,455.87	$4,226.82	$20,305.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,209.75 / $10,788.69 / $22,339.55	Facility		$3,209.75	$10,788.69	$22,339.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,638.11 / $4,279.66 / $7,427.16	Professional		$3,638.11	$4,279.66	$7,427.16
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $8,331.92 / $14,878.43	Facility		$97.00	$8,331.92	$14,878.43
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,337.75 / $21,750.76	Professional		$100.00	$9,337.75	$21,750.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,291.65 / $4,697.47 / $4,697.47	Facility		$3,291.65	$4,697.47	$4,697.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $8,418.37	Professional		$3,429.16	$3,429.16	$8,418.37
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $3,087.00 / $7,741.39	Professional		$2,572.50	$3,087.00	$7,741.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,222.58 / $4,926.34 / $10,697.20	Professional		$4,222.58	$4,926.34	$10,697.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,956.91 / $35,737.98 / $35,737.98	Facility		$13,956.91	$35,737.98	$35,737.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $46,448.37 / $46,448.37 / $52,782.23	Professional		$46,448.37	$46,448.37	$52,782.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $19,236.19 / $19,236.19 / $19,236.19	Professional		$19,236.19	$19,236.19	$19,236.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,266.64 / $6,221.89 / $7,389.51	Facility		$2,266.64	$6,221.89	$7,389.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,429.16 / $3,429.16 / $7,037.63	Professional		$3,429.16	$3,429.16	$7,037.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,283.26 / $13,283.26 / $13,283.26	Professional		$13,283.26	$13,283.26	$13,283.26
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,572.50 / $4,373.25 / $5,630.10	Professional		$2,572.50	$4,373.25	$5,630.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,272.17 / $3,511.00 / $7,037.63	Professional		$3,272.17	$3,511.00	$7,037.63