Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,424.06 / $56,470.10 / $129,329.00	Facility		$28,424.06	$56,470.10	$129,329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,708.30 / $51,660.50	Professional		$28,424.06	$28,708.30	$51,660.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,155.09 / $45,401.75 / $111,376.84	Facility		$30,155.09	$45,401.75	$111,376.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,157.16 / $28,424.06 / $46,615.45	Professional		$17,157.16	$28,424.06	$46,615.45
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $32,178.18	Facility		$77.40	$100.00	$32,178.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28,960.36 / $28,960.36 / $58,561.76	Professional		$28,960.36	$28,960.36	$58,561.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,815.15 / $26,815.15 / $28,424.06	Facility		$26,815.15	$26,815.15	$28,424.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $30,837.42	Professional		$28,424.06	$28,424.06	$30,837.42
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $27,070.53 / $27,074.99 / $36,545.22	Professional		$27,070.53	$27,074.99	$36,545.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25,581.65 / $34,108.87 / $54,289.95	Professional		$25,581.65	$34,108.87	$54,289.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $36,008.87 / $135,352.65 / $142,120.29	Facility		$36,008.87	$135,352.65	$142,120.29
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $119,518.82 / $119,518.82 / $119,518.82	Professional		$119,518.82	$119,518.82	$119,518.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $55,494.58 / $55,494.58	Professional		$60.00	$55,494.58	$55,494.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,726.85 / $28,424.06 / $42,636.09	Facility		$2,726.85	$28,424.06	$42,636.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $33,838.16	Professional		$28,424.06	$28,424.06	$33,838.16
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35,097.61 / $35,097.61 / $35,097.61	Professional		$35,097.61	$35,097.61	$35,097.61
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22,739.25 / $28,424.06 / $42,636.09	Professional		$22,739.25	$28,424.06	$42,636.09
United Facility/Professional Facility Modifier Low / Median / High Price $54,557.83 / $57,497.81 / $57,497.81	Facility		$54,557.83	$57,497.81	$57,497.81
United Facility/Professional Professional Modifier Low / Median / High Price $28,424.06 / $28,424.06 / $40,159.50	Professional		$28,424.06	$28,424.06	$40,159.50