Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,683.56 / $8,683.56 / $44,252.30	Facility		$8,683.56	$8,683.56	$44,252.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,797.40 / $8,683.56 / $44,252.30	Professional		$6,797.40	$8,683.56	$44,252.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,594.11 / $23,512.36 / $48,685.76	Facility		$6,594.11	$23,512.36	$48,685.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7,673.10 / $8,832.85 / $14,243.35	Professional		$7,673.10	$8,832.85	$14,243.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $18,158.20 / $32,425.36	Facility		$97.00	$18,158.20	$32,425.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $20,350.24 / $47,402.53	Professional		$100.00	$20,350.24	$47,402.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,173.66 / $9,907.40 / $9,907.40	Facility		$7,173.66	$9,907.40	$9,907.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $7,232.40 / $10,204.62	Professional		$7,232.40	$7,232.40	$10,204.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,740.00 / $6,888.00 / $16,871.23	Professional		$5,740.00	$6,888.00	$16,871.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9,202.49 / $10,736.24 / $23,312.97	Professional		$9,202.49	$10,736.24	$23,312.97
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $31,090.32 / $77,109.56 / $77,109.56	Facility		$31,090.32	$77,109.56	$77,109.56
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $96,001.40 / $96,001.40 / $108,435.30	Professional		$96,001.40	$96,001.40	$108,435.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $31,827.58 / $31,827.58 / $31,827.58	Professional		$31,827.58	$31,827.58	$31,827.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,656.56 / $13,559.70 / $15,525.65	Facility		$4,656.56	$13,559.70	$15,525.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $7,232.40 / $9,907.40 / $14,860.28	Professional		$7,232.40	$9,907.40	$14,860.28
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $28,948.92 / $28,948.92 / $28,948.92	Professional		$28,948.92	$28,948.92	$28,948.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,740.00 / $9,758.00 / $12,269.98	Professional		$5,740.00	$9,758.00	$12,269.98
United Facility/Professional Professional Modifier Low / Median / High Price $6,789.55 / $7,339.41 / $14,927.19	Professional		$6,789.55	$7,339.41	$14,927.19