Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,804.37 / $28,804.37 / $28,804.37	Facility		$28,804.37	$28,804.37	$28,804.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19,185.33 / $25,722.26 / $28,804.37	Professional		$19,185.33	$25,722.26	$28,804.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,400.00 / $50,901.51 / $124,289.75	Facility		$5,400.00	$50,901.51	$124,289.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,408.53 / $54,000.00 / $54,000.00	Professional		$2,408.53	$54,000.00	$54,000.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $57,000.00 / $57,000.00 / $60,000.00	Professional		$57,000.00	$57,000.00	$60,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $31,019.05 / $44,937.75	Professional		$31,019.05	$31,019.05	$44,937.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $31,324.01 / $39,155.01 / $46,986.01	Professional		$31,324.01	$39,155.01	$46,986.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23,493.01 / $27,408.51 / $59,515.62	Professional		$23,493.01	$27,408.51	$59,515.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $78,688.14 / $182,487.33 / $185,986.30	Facility		$78,688.14	$182,487.33	$185,986.30
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $196,622.34 / $196,622.34 / $294,263.94	Professional		$196,622.34	$196,622.34	$294,263.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $52,313.31 / $52,313.31 / $79,438.73	Professional		$52,313.31	$52,313.31	$79,438.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $27,706.21 / $39,155.01 / $45,028.26	Facility		$27,706.21	$39,155.01	$45,028.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $31,019.05 / $31,019.05 / $37,579.94	Professional		$31,019.05	$31,019.05	$37,579.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $31,324.01 / $31,324.01 / $31,324.01	Professional		$31,324.01	$31,324.01	$31,324.01
United Facility/Professional Professional Modifier Low / Median / High Price $18,218.03 / $19,874.21 / $35,245.49	Professional		$18,218.03	$19,874.21	$35,245.49