Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,082.05 / $3,082.05 / $16,172.60	Facility		$3,082.05	$3,082.05	$16,172.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,465.14 / $3,082.05 / $16,172.60	Professional		$2,465.14	$3,082.05	$16,172.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,244.71 / $2,703.44 / $7,147.70	Facility		$2,244.71	$2,703.44	$7,147.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,877.21 / $3,096.92 / $5,340.88	Professional		$2,877.21	$3,096.92	$5,340.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $7,437.25 / $17,323.87	Professional		$100.00	$7,437.25	$17,323.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,452.89 / $4,536.46 / $4,536.46	Facility		$4,452.89	$4,536.46	$4,536.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $3,855.99 / $4,672.55	Professional		$3,855.99	$3,855.99	$4,672.55
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,484.22 / $5,605.27 / $6,726.32	Professional		$4,484.22	$5,605.27	$6,726.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,363.16 / $3,923.69 / $8,520.01	Professional		$3,363.16	$3,923.69	$8,520.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,648.04 / $26,749.15 / $26,749.15	Facility		$9,648.04	$26,749.15	$26,749.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $28,971.25 / $28,971.25 / $42,039.53	Professional		$28,971.25	$28,971.25	$42,039.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $11,835.65 / $11,835.65 / $11,835.65	Professional		$11,835.65	$11,835.65	$11,835.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,652.75 / $5,171.02 / $5,773.49	Facility		$1,652.75	$5,171.02	$5,773.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,855.99 / $4,536.46 / $5,335.19	Professional		$3,855.99	$4,536.46	$5,335.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,579.76 / $10,579.76 / $10,579.76	Professional		$10,579.76	$10,579.76	$10,579.76
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $4,484.22 / $4,484.22 / $4,484.22	Professional		$4,484.22	$4,484.22	$4,484.22
United Facility/Professional Professional Modifier Low / Median / High Price $2,436.17 / $2,771.47 / $5,909.29	Professional		$2,436.17	$2,771.47	$5,909.29