Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $40,738.03	Facility		$5,495.41	$5,495.41	$40,738.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $36,307.81	Professional		$4,265.80	$5,495.41	$36,307.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,248.07 / $22,387.21	Facility		$4,168.69	$5,248.07	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $12,302.69	Professional		$5,495.41	$5,495.41	$12,302.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $16,595.87 / $21,877.62	Facility		$100.00	$16,595.87	$21,877.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $17,782.79 / $30,199.52	Professional		$9,120.11	$17,782.79	$30,199.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,606.93 / $6,606.93	Facility		$4,365.16	$6,606.93	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,606.93	Professional		$4,786.30	$4,786.30	$6,606.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,466.84 / $11,481.54	Professional		$3,548.13	$4,466.84	$11,481.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,709.64 / $15,135.61	Professional		$5,754.40	$8,709.64	$15,135.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $46,773.51 / $46,773.51 / $46,773.51	Facility		$46,773.51	$46,773.51	$46,773.51
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $60,255.96 / $91,201.08 / $91,201.08	Professional		$60,255.96	$91,201.08	$91,201.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $9,120.11 / $12,302.69	Facility		$3,090.30	$9,120.11	$12,302.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $9,120.11	Professional		$4,786.30	$4,786.30	$9,120.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Professional		$17,782.79	$17,782.79	$17,782.79
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $6,025.60 / $12,302.69	Facility		$741.31	$6,025.60	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,495.41 / $9,549.93	Professional		$4,265.80	$5,495.41	$9,549.93