Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,217.75 / $16,217.75 / $16,217.75	Facility		$16,217.75	$16,217.75	$16,217.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13,482.23 / $16,217.75 / $16,217.75	Professional		$13,482.23	$16,217.75	$16,217.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,609.38 / $11,364.61 / $20,729.73	Facility		$5,609.38	$11,364.61	$20,729.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,076.31 / $16,608.54 / $31,888.39	Professional		$6,076.31	$16,608.54	$31,888.39
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $12,466.06 / $42,047.31	Facility		$97.00	$12,466.06	$42,047.31
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,185.08 / $1,692.99 / $4,127.00	Professional		$1,185.08	$1,692.99	$4,127.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,608.54 / $16,608.54 / $16,608.54	Facility		$16,608.54	$16,608.54	$16,608.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,608.54 / $16,608.54 / $16,608.54	Professional		$16,608.54	$16,608.54	$16,608.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16,287.34 / $16,287.34 / $19,544.81	Professional		$16,287.34	$16,287.34	$19,544.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16,706.24 / $18,562.49 / $21,346.86	Professional		$16,706.24	$18,562.49	$21,346.86
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,562.49 / $39,078.92 / $73,272.98	Facility		$18,562.49	$39,078.92	$73,272.98
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $74,249.95 / $74,249.95 / $87,927.57	Professional		$74,249.95	$74,249.95	$87,927.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Professional		$85.00	$85.00	$85.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $14,156.34 / $17,028.64 / $23,203.11	Facility		$14,156.34	$17,028.64	$23,203.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $16,608.54 / $16,608.54 / $19,539.46	Professional		$16,608.54	$16,608.54	$19,539.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16,282.88 / $17,911.16 / $27,680.90	Professional		$16,282.88	$17,911.16	$27,680.90
United Facility/Professional Professional Modifier Low / Median / High Price $16,282.88 / $16,282.88 / $33,236.61	Professional		$16,282.88	$16,282.88	$33,236.61