Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $89,125.09	Facility		$11,220.18	$11,220.18	$89,125.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $11,220.18 / $79,432.82	Professional		$8,912.51	$11,220.18	$79,432.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $46,773.51	Facility		$8,511.38	$10,964.78	$46,773.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $11,220.18 / $22,908.68	Professional		$11,220.18	$11,220.18	$22,908.68
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $37,153.52 / $48,977.88	Facility		$100.00	$37,153.52	$48,977.88
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $38,904.51 / $66,069.34	Professional		$19,952.62	$38,904.51	$66,069.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $12,882.50	Professional		$9,332.54	$9,332.54	$12,882.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $19,054.61 / $26,302.68	Professional		$12,589.25	$19,054.61	$26,302.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $19,054.61 / $33,113.11	Professional		$12,589.25	$19,054.61	$33,113.11
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $97,723.72 / $97,723.72 / $97,723.72	Facility		$97,723.72	$97,723.72	$97,723.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $107,151.93 / $154,881.66 / $154,881.66	Professional		$107,151.93	$154,881.66	$154,881.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $20,892.96	Professional		$20,892.96	$20,892.96	$20,892.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $20,892.96 / $27,542.29	Facility		$6,309.57	$20,892.96	$27,542.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $20,417.38	Professional		$9,332.54	$9,332.54	$20,417.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $38,904.51 / $38,904.51	Professional		$38,904.51	$38,904.51	$38,904.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $16,982.44 / $21,379.62	Professional		$12,589.25	$16,982.44	$21,379.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $12,302.69 / $25,703.96	Facility		$1,548.82	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $11,220.18 / $20,892.96	Professional		$8,912.51	$11,220.18	$20,892.96