Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $58,884.37 / $77,624.71	Facility		$31,622.78	$58,884.37	$77,624.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,840.32 / $48,977.88	Professional		$28,183.83	$28,840.32	$48,977.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30,902.95 / $35,481.34 / $87,096.36	Facility		$30,902.95	$35,481.34	$87,096.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $29,512.09 / $43,651.58	Professional		$1,862.09	$29,512.09	$43,651.58
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $4,073.80 / $45,708.82	Facility		$85.11	$4,073.80	$45,708.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $32,359.37 / $56,234.13	Professional		$28,183.83	$32,359.37	$56,234.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $28,183.83	Facility		$26,915.35	$26,915.35	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $30,902.95	Professional		$28,183.83	$28,183.83	$30,902.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $38,018.94	Professional		$28,183.83	$28,183.83	$38,018.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25,703.96 / $29,512.09 / $51,286.14	Professional		$25,703.96	$29,512.09	$51,286.14
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $141,253.75 / $141,253.75 / $141,253.75	Facility		$141,253.75	$141,253.75	$141,253.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $120,226.44 / $120,226.44 / $120,226.44	Professional		$120,226.44	$120,226.44	$120,226.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Professional		$26,915.35	$26,915.35	$26,915.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $28,183.83 / $45,708.82	Facility		$2,691.53	$28,183.83	$45,708.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $33,884.42	Professional		$28,183.83	$28,183.83	$33,884.42
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $35,481.34 / $35,481.34 / $35,481.34	Professional		$35,481.34	$35,481.34	$35,481.34
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $31,622.78 / $47,863.01	Professional		$22,908.68	$31,622.78	$47,863.01
United Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $61,659.50 / $61,659.50	Facility		$28,183.83	$61,659.50	$61,659.50
United Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $33,113.11	Professional		$28,183.83	$28,183.83	$33,113.11