Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,445.78 / $5,445.78 / $27,156.00	Facility		$5,445.78	$5,445.78	$27,156.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,334.09 / $5,445.78 / $27,156.00	Professional		$4,334.09	$5,445.78	$27,156.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,135.39 / $14,428.64 / $29,876.61	Facility		$4,135.39	$14,428.64	$29,876.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,075.20 / $5,539.38 / $9,420.95	Professional		$5,075.20	$5,539.38	$9,420.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $11,142.99 / $19,898.20	Facility		$97.00	$11,142.99	$19,898.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $12,488.18 / $29,089.16	Professional		$100.00	$12,488.18	$29,089.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,402.18 / $6,553.03 / $6,553.03	Facility		$4,402.18	$6,553.03	$6,553.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $4,783.71 / $6,749.62	Professional		$4,783.71	$4,783.71	$6,749.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,543.75 / $4,252.50 / $10,353.23	Professional		$3,543.75	$4,252.50	$10,353.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,647.22 / $6,588.42 / $14,306.29	Professional		$5,647.22	$6,588.42	$14,306.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,134.36 / $46,975.22 / $46,975.22	Facility		$18,134.36	$46,975.22	$46,975.22
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $59,843.37 / $59,843.37 / $90,671.78	Professional		$59,843.37	$59,843.37	$90,671.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $24,783.61 / $24,783.61 / $24,783.61	Professional		$24,783.61	$24,783.61	$24,783.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,920.30 / $8,321.07 / $9,882.62	Facility		$2,920.30	$8,321.07	$9,882.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,783.71 / $6,553.03 / $9,102.45	Professional		$4,783.71	$6,553.03	$9,102.45
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $17,764.88 / $17,764.88 / $17,764.88	Professional		$17,764.88	$17,764.88	$17,764.88
United Facility/Professional Professional Modifier Low / Median / High Price $4,239.67 / $4,680.13 / $9,412.03	Professional		$4,239.67	$4,680.13	$9,412.03