Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $15,135.61 / $61,659.50	Facility		$8,511.38	$15,135.61	$61,659.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $8,511.38 / $54,954.09	Professional		$6,165.95	$8,511.38	$54,954.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $8,317.64 / $33,884.42	Facility		$6,606.93	$8,317.64	$33,884.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $19,054.61	Professional		$8,511.38	$8,511.38	$19,054.61
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $25,118.86 / $33,884.42	Facility		$100.00	$25,118.86	$33,884.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $26,915.35 / $45,708.82	Professional		$13,803.84	$26,915.35	$45,708.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $9,332.54 / $9,332.54	Facility		$6,760.83	$9,332.54	$9,332.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $9,332.54	Professional		$6,918.31	$6,918.31	$9,332.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,606.93 / $17,378.01	Professional		$5,248.07	$6,606.93	$17,378.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $22,908.68	Professional		$8,709.64	$13,182.57	$22,908.68
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $75,857.76	Facility		$75,857.76	$75,857.76	$75,857.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $95,499.26 / $107,151.93 / $107,151.93	Professional		$95,499.26	$107,151.93	$107,151.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Professional		$15,848.93	$15,848.93	$15,848.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $13,803.84 / $18,197.01	Facility		$4,897.79	$13,803.84	$18,197.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $14,125.38	Professional		$6,918.31	$6,918.31	$14,125.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $26,915.35 / $26,915.35 / $26,915.35	Professional		$26,915.35	$26,915.35	$26,915.35
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $13,182.57	Professional		$5,248.07	$7,943.28	$13,182.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $9,549.93 / $19,498.45	Facility		$1,174.90	$9,549.93	$19,498.45
United Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,317.64 / $14,791.08	Professional		$6,606.93	$8,317.64	$14,791.08