Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,906.14 / $3,906.14 / $21,281.20	Facility		$3,906.14	$3,906.14	$21,281.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,089.31 / $3,906.14 / $21,281.20	Professional		$3,089.31	$3,906.14	$21,281.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,844.91 / $3,426.29 / $9,058.87	Facility		$2,844.91	$3,426.29	$9,058.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,699.10 / $3,906.15 / $8,253.76	Professional		$2,699.10	$3,906.15	$8,253.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,786.54 / $22,796.16	Professional		$100.00	$9,786.54	$22,796.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,736.32 / $4,063.89 / $4,063.89	Facility		$3,736.32	$4,063.89	$4,063.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $3,454.31 / $4,185.81	Professional		$3,454.31	$3,454.31	$4,185.81
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,900.70 / $7,375.88 / $8,851.06	Professional		$5,900.70	$7,375.88	$8,851.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,425.53 / $5,163.12 / $11,211.34	Professional		$4,425.53	$5,163.12	$11,211.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,003.08 / $35,035.43 / $35,035.43	Facility		$15,003.08	$35,035.43	$35,035.43
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $36,700.76 / $36,700.76 / $52,683.83	Professional		$36,700.76	$36,700.76	$52,683.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $14,832.38 / $14,832.38 / $14,832.38	Professional		$14,832.38	$14,832.38	$14,832.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,094.67 / $6,651.62 / $7,475.60	Facility		$2,094.67	$6,651.62	$7,475.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,454.31 / $4,063.89 / $6,945.54	Professional		$3,454.31	$4,063.89	$6,945.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,921.70 / $13,921.70 / $13,921.70	Professional		$13,921.70	$13,921.70	$13,921.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,900.70 / $5,900.70 / $5,900.70	Professional		$5,900.70	$5,900.70	$5,900.70
United Facility/Professional Professional Modifier Low / Median / High Price $3,109.18 / $3,679.75 / $9,868.46	Professional		$3,109.18	$3,679.75	$9,868.46