Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,528.28 / $28,501.69 / $68,309.70	Facility		$12,528.28	$28,501.69	$68,309.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10,040.56 / $12,528.28 / $68,309.70	Professional		$10,040.56	$12,528.28	$68,309.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,124.52 / $10,989.19 / $29,054.63	Facility		$9,124.52	$10,989.19	$29,054.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11,842.26 / $12,562.19 / $21,982.48	Professional		$11,842.26	$12,562.19	$21,982.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $31,413.44 / $73,172.45	Professional		$100.00	$31,413.44	$73,172.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,983.81 / $13,034.23 / $13,034.23	Facility		$11,983.81	$13,034.23	$13,034.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $11,079.10 / $13,425.26	Professional		$11,079.10	$11,079.10	$13,425.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $18,940.43 / $23,675.55 / $28,410.66	Professional		$18,940.43	$23,675.55	$28,410.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14,205.33 / $16,572.89 / $35,986.83	Professional		$14,205.33	$16,572.89	$35,986.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $47,983.25 / $112,458.86 / $112,458.86	Facility		$47,983.25	$112,458.86	$112,458.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $116,045.60 / $116,045.60 / $172,500.69	Professional		$116,045.60	$116,045.60	$172,500.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $47,623.20 / $47,623.20 / $47,623.20	Professional		$47,623.20	$47,623.20	$47,623.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,718.30 / $20,931.29 / $23,675.55	Facility		$6,718.30	$20,931.29	$23,675.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $11,079.10 / $13,034.23 / $21,717.78	Professional		$11,079.10	$13,034.23	$21,717.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $44,686.74 / $44,686.74 / $44,686.74	Professional		$44,686.74	$44,686.74	$44,686.74
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18,940.43 / $18,940.43 / $18,940.43	Professional		$18,940.43	$18,940.43	$18,940.43
United Facility/Professional Professional Modifier Low / Median / High Price $9,902.84 / $11,589.61 / $23,675.55	Professional		$9,902.84	$11,589.61	$23,675.55