Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $28,183.83	Facility		$3,467.37	$3,467.37	$28,183.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $25,118.86	Professional		$2,691.53	$3,467.37	$25,118.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $14,125.38	Facility		$2,630.27	$3,311.31	$14,125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,248.07 / $7,762.47	Professional		$3,467.37	$5,248.07	$7,762.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $11,220.18 / $15,135.61	Facility		$100.00	$11,220.18	$15,135.61
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $12,302.69 / $20,892.96	Professional		$6,309.57	$12,302.69	$20,892.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,244.36 / $8,912.51	Professional		$5,248.07	$7,244.36	$8,912.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $6,025.60 / $10,471.29	Professional		$3,630.78	$6,025.60	$10,471.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Facility		$30,902.95	$30,902.95	$30,902.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,359.37 / $46,773.51 / $46,773.51	Professional		$32,359.37	$46,773.51	$46,773.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $6,456.54 / $8,128.31	Facility		$1,862.09	$6,456.54	$8,128.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $6,309.57	Professional		$3,235.94	$3,235.94	$6,309.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,025.60	Professional		$5,248.07	$5,248.07	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $3,801.89 / $7,762.47	Facility		$467.74	$3,801.89	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $6,606.93	Professional		$2,691.53	$3,467.37	$6,606.93