Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $95,499.26	Facility		$12,022.64	$12,022.64	$95,499.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9,549.93 / $12,022.64 / $83,176.38	Professional		$9,549.93	$12,022.64	$83,176.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $11,748.98 / $50,118.72	Facility		$9,120.11	$11,748.98	$50,118.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $27,542.29	Professional		$12,589.25	$12,589.25	$27,542.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $38,018.94 / $51,286.14	Facility		$100.00	$38,018.94	$51,286.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $40,738.03 / $70,794.58	Professional		$21,379.62	$40,738.03	$70,794.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Facility		$14,454.40	$14,454.40	$14,454.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $14,454.40	Professional		$10,715.19	$10,715.19	$14,454.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $14,791.08 / $26,915.35	Professional		$11,748.98	$14,791.08	$26,915.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $19,952.62 / $35,481.34	Professional		$12,589.25	$19,952.62	$35,481.34
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $104,712.85 / $104,712.85 / $104,712.85	Facility		$104,712.85	$104,712.85	$104,712.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $112,201.85 / $165,958.69 / $165,958.69	Professional		$112,201.85	$165,958.69	$165,958.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $22,387.21	Professional		$22,387.21	$22,387.21	$22,387.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $22,387.21 / $28,183.83	Facility		$6,456.54	$22,387.21	$28,183.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $21,379.62	Professional		$10,715.19	$10,715.19	$21,379.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $41,686.94 / $41,686.94 / $41,686.94	Professional		$41,686.94	$41,686.94	$41,686.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $11,748.98 / $17,378.01 / $19,952.62	Professional		$11,748.98	$17,378.01	$19,952.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $13,182.57 / $27,542.29	Facility		$1,659.59	$13,182.57	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $12,022.64 / $21,877.62	Professional		$9,332.54	$12,022.64	$21,877.62