Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,037.88 / $12,037.88 / $63,182.40	Facility		$12,037.88	$12,037.88	$63,182.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,630.76 / $12,037.88 / $63,182.40	Professional		$9,630.76	$12,037.88	$63,182.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,141.23 / $33,223.80 / $69,512.41	Facility		$9,141.23	$33,223.80	$69,512.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,240.68 / $12,489.26 / $20,865.78	Professional		$11,240.68	$12,489.26	$20,865.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $25,925.84 / $46,296.14	Facility		$97.00	$25,925.84	$46,296.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $29,055.59 / $67,680.21	Professional		$100.00	$29,055.59	$67,680.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,513.81 / $14,513.81 / $17,396.43	Facility		$14,513.81	$14,513.81	$17,396.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $10,595.08 / $15,472.44	Professional		$10,595.08	$10,595.08	$15,472.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11,705.58 / $14,046.70 / $24,088.35	Professional		$11,705.58	$14,046.70	$24,088.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,139.10 / $15,328.95 / $33,285.72	Professional		$13,139.10	$15,328.95	$33,285.72
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $37,693.01 / $104,478.94 / $104,478.94	Facility		$37,693.01	$104,478.94	$104,478.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $112,957.80 / $112,957.80 / $164,238.75	Professional		$112,957.80	$112,957.80	$164,238.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $46,239.36 / $46,239.36 / $46,239.36	Professional		$46,239.36	$46,239.36	$46,239.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,455.32 / $19,748.22 / $22,555.79	Facility		$6,455.32	$19,748.22	$22,555.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,595.08 / $14,513.81 / $20,843.32	Professional		$10,595.08	$14,513.81	$20,843.32
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41,332.58 / $41,332.58 / $41,332.58	Professional		$41,332.58	$41,332.58	$41,332.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11,705.58 / $17,518.80 / $17,558.37	Professional		$11,705.58	$17,518.80	$17,558.37
United Facility/Professional Professional Modifier Low / Median / High Price $9,412.24 / $10,924.91 / $19,774.09	Professional		$9,412.24	$10,924.91	$19,774.09