Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,735.27 / $9,735.27 / $49,326.00	Facility		$9,735.27	$9,735.27	$49,326.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,439.81 / $9,735.27 / $49,326.00	Professional		$7,439.81	$9,735.27	$49,326.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,254.60 / $22,224.77 / $54,267.77	Facility		$4,254.60	$22,224.77	$54,267.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,672.80 / $5,672.80 / $16,289.71	Professional		$5,672.80	$5,672.80	$16,289.71
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $20,915.13 / $37,348.44	Facility		$98.20	$20,915.13	$37,348.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $22,683.46 / $52,837.39	Professional		$100.00	$22,683.46	$52,837.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,812.54 / $9,812.54 / $13,581.25	Facility		$9,812.54	$9,812.54	$13,581.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,340.66 / $8,340.66 / $10,106.92	Professional		$8,340.66	$8,340.66	$10,106.92
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $13,676.78 / $17,095.98 / $20,515.18	Professional		$13,676.78	$17,095.98	$20,515.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10,257.59 / $11,967.19 / $25,985.89	Professional		$10,257.59	$11,967.19	$25,985.89
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $29,426.58 / $81,836.25 / $81,836.25	Facility		$29,426.58	$81,836.25	$81,836.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $89,678.01 / $89,678.01 / $128,219.85	Professional		$89,678.01	$89,678.01	$128,219.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $36,098.67 / $36,098.67 / $36,098.67	Professional		$36,098.67	$36,098.67	$36,098.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $10,003.09 / $17,095.98 / $17,950.78	Facility		$10,003.09	$17,095.98	$17,950.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $8,340.66 / $9,812.54 / $16,854.61	Professional		$8,340.66	$9,812.54	$16,854.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $32,268.02 / $32,268.02 / $32,268.02	Professional		$32,268.02	$32,268.02	$32,268.02
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $13,676.78 / $13,676.78 / $13,676.78	Professional		$13,676.78	$13,676.78	$13,676.78
United Facility/Professional Professional Modifier Low / Median / High Price $7,374.47 / $8,452.92 / $16,547.48	Professional		$7,374.47	$8,452.92	$16,547.48