Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23,548.73 / $23,548.73 / $125,471.00	Facility		$23,548.73	$23,548.73	$125,471.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18,776.22 / $23,548.73 / $125,471.00	Professional		$18,776.22	$23,548.73	$125,471.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,882.32 / $64,993.29 / $138,041.13	Facility		$17,882.32	$64,993.29	$138,041.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23,537.37 / $23,953.47 / $43,691.75	Professional		$23,537.37	$23,953.47	$43,691.75
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $51,484.85 / $91,937.23	Facility		$98.20	$51,484.85	$91,937.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $57,700.03 / $134,402.74	Professional		$100.00	$57,700.03	$134,402.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,339.82 / $30,391.12 / $30,391.12	Facility		$20,339.82	$30,391.12	$30,391.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $22,185.52 / $32,398.44	Professional		$22,185.52	$22,185.52	$32,398.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $16,310.00 / $19,572.00 / $47,835.82	Professional		$16,310.00	$19,572.00	$47,835.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26,092.27 / $30,440.98 / $66,100.41	Professional		$26,092.27	$30,440.98	$66,100.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $95,370.17 / $206,563.77 / $206,563.77	Facility		$95,370.17	$206,563.77	$206,563.77
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $242,681.77 / $242,681.77 / $323,594.78	Professional		$242,681.77	$242,681.77	$323,594.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $100,504.57 / $100,504.57 / $100,504.57	Professional		$100,504.57	$100,504.57	$100,504.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $12,628.02 / $37,773.96 / $45,661.47	Facility		$12,628.02	$37,773.96	$45,661.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $22,185.52 / $30,391.12 / $41,855.21	Professional		$22,185.52	$30,391.12	$41,855.21
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $82,080.33 / $82,080.33 / $82,080.33	Professional		$82,080.33	$82,080.33	$82,080.33
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $16,310.00 / $27,727.00 / $34,789.69	Professional		$16,310.00	$27,727.00	$34,789.69
United Facility/Professional Professional Modifier Low / Median / High Price $18,085.41 / $19,903.56 / $36,964.97	Professional		$18,085.41	$19,903.56	$36,964.97