Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,567.02 / $4,567.02 / $24,908.90	Facility		$4,567.02	$4,567.02	$24,908.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,673.47 / $4,567.02 / $24,908.90	Professional		$3,673.47	$4,567.02	$24,908.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,837.50 / $13,789.83 / $27,960.75	Facility		$4,837.50	$13,789.83	$27,960.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,571.59 / $6,450.00 / $8,009.77	Professional		$4,571.59	$6,450.00	$8,009.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $10,220.92 / $18,251.64	Facility		$97.00	$10,220.92	$18,251.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $11,454.80 / $26,682.08	Professional		$100.00	$11,454.80	$26,682.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,751.45 / $4,751.45 / $6,485.26	Facility		$4,751.45	$4,751.45	$6,485.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,038.73 / $4,893.99	Professional		$4,038.73	$4,038.73	$4,893.99
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,189.60 / $6,227.52 / $9,496.53	Professional		$5,189.60	$6,227.52	$9,496.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,179.93 / $6,043.25 / $13,122.48	Professional		$5,179.93	$6,043.25	$13,122.48
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $17,483.70 / $39,447.21 / $41,007.75	Facility		$17,483.70	$39,447.21	$41,007.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $42,201.91 / $42,201.91 / $63,121.35	Professional		$42,201.91	$42,201.91	$63,121.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $17,366.45 / $17,366.45 / $17,366.45	Professional		$17,366.45	$17,366.45	$17,366.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,571.52 / $8,471.44 / $8,749.90	Facility		$2,571.52	$8,471.44	$8,749.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,038.73 / $4,751.45 / $7,777.69	Professional		$4,038.73	$4,751.45	$7,777.69
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $16,294.85 / $16,294.85 / $16,294.85	Professional		$16,294.85	$16,294.85	$16,294.85
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,189.60 / $6,906.57 / $7,769.89	Professional		$5,189.60	$6,906.57	$7,769.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,570.89 / $4,172.62 / $8,402.26	Professional		$3,570.89	$4,172.62	$8,402.26