Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,377.63 / $5,377.63 / $29,324.90	Facility		$5,377.63	$5,377.63	$29,324.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,310.35 / $5,377.63 / $29,324.90	Professional		$4,310.35	$5,377.63	$29,324.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,564.91 / $5,564.91 / $7,331.95	Professional		$5,564.91	$5,564.91	$7,331.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,962.68 / $16,234.56 / $33,851.92	Facility		$5,962.68	$16,234.56	$33,851.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,950.00 / $7,950.24 / $9,436.82	Professional		$4,950.00	$7,950.24	$9,436.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $12,032.99 / $21,487.48	Facility		$97.00	$12,032.99	$21,487.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $13,485.58 / $31,412.45	Professional		$100.00	$13,485.58	$31,412.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,143.93 / $7,957.05 / $7,957.05	Facility		$5,143.93	$7,957.05	$7,957.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $6,763.49 / $8,195.76	Professional		$6,763.49	$6,763.49	$8,195.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,131.00 / $10,163.75 / $12,196.50	Professional		$8,131.00	$10,163.75	$12,196.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,098.25 / $7,114.63 / $15,448.90	Professional		$6,098.25	$7,114.63	$15,448.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,598.65 / $48,277.81 / $48,277.81	Facility		$20,598.65	$48,277.81	$48,277.81
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $49,817.58 / $49,817.58 / $74,053.58	Professional		$49,817.58	$49,817.58	$74,053.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $20,444.28 / $20,444.28 / $20,444.28	Professional		$20,444.28	$20,444.28	$20,444.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,883.76 / $8,985.67 / $10,163.75	Facility		$2,883.76	$8,985.67	$10,163.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,763.49 / $7,957.05 / $9,323.29	Professional		$6,763.49	$7,957.05	$9,323.29
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19,183.72 / $19,183.72 / $19,183.72	Professional		$19,183.72	$19,183.72	$19,183.72
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $8,131.00 / $8,131.00 / $8,131.00	Professional		$8,131.00	$8,131.00	$8,131.00
United Facility/Professional Facility Modifier Low / Median / High Price $10,147.53 / $11,938.27 / $11,938.27	Facility		$10,147.53	$11,938.27	$11,938.27
United Facility/Professional Professional Modifier Low / Median / High Price $4,250.68 / $4,925.93 / $10,163.75	Professional		$4,250.68	$4,925.93	$10,163.75