Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,438.30 / $3,438.30 / $18,732.30	Facility		$3,438.30	$3,438.30	$18,732.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,719.28 / $3,438.30 / $18,732.30	Professional		$2,719.28	$3,438.30	$18,732.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,610.96 / $9,489.53 / $20,609.08	Facility		$2,610.96	$9,489.53	$20,609.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,375.82 / $3,438.30 / $7,265.19	Professional		$2,375.82	$3,438.30	$7,265.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $7,686.51 / $13,725.91	Facility		$97.00	$7,686.51	$13,725.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $8,614.42 / $20,065.86	Professional		$100.00	$8,614.42	$20,065.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,288.86 / $3,799.01 / $3,799.01	Facility		$3,288.86	$3,799.01	$3,799.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,229.16 / $3,912.98	Professional		$3,229.16	$3,229.16	$3,912.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,193.97 / $6,492.48 / $7,790.98	Professional		$5,193.97	$6,492.48	$7,790.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,895.49 / $4,544.74 / $9,868.57	Professional		$3,895.49	$4,544.74	$9,868.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,206.17 / $30,839.28 / $30,839.28	Facility		$13,206.17	$30,839.28	$30,839.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $32,305.11 / $32,305.11 / $46,373.63	Professional		$32,305.11	$32,305.11	$46,373.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $13,055.87 / $13,055.87 / $13,055.87	Professional		$13,055.87	$13,055.87	$13,055.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,843.79 / $5,854.97 / $6,580.25	Facility		$1,843.79	$5,854.97	$6,580.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,229.16 / $3,799.01 / $6,113.65	Professional		$3,229.16	$3,799.01	$6,113.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $12,254.29 / $12,254.29 / $12,254.29	Professional		$12,254.29	$12,254.29	$12,254.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,193.97 / $5,193.97 / $5,193.97	Professional		$5,193.97	$5,193.97	$5,193.97
United Facility/Professional Professional Modifier Low / Median / High Price $2,688.35 / $3,097.53 / $6,282.08	Professional		$2,688.35	$3,097.53	$6,282.08