Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $25,703.96 / $204,173.79	Facility		$25,703.96	$25,703.96	$204,173.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $25,703.96 / $181,970.09	Professional		$20,892.96	$25,703.96	$181,970.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $26,302.68 / $112,201.85	Facility		$20,892.96	$26,302.68	$112,201.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $58,884.37	Professional		$28,183.83	$28,183.83	$58,884.37
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $83,176.38 / $109,647.82	Facility		$100.00	$83,176.38	$109,647.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $45,708.82 / $89,125.09 / $151,356.12	Professional		$45,708.82	$89,125.09	$151,356.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $31,622.78 / $31,622.78	Facility		$31,622.78	$31,622.78	$31,622.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $31,622.78	Professional		$22,908.68	$22,908.68	$31,622.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $52,480.75 / $64,565.42	Professional		$38,904.51	$52,480.75	$64,565.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27,542.29 / $43,651.58 / $75,857.76	Professional		$27,542.29	$43,651.58	$75,857.76
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $223,872.11 / $223,872.11 / $223,872.11	Facility		$223,872.11	$223,872.11	$223,872.11
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $245,470.89 / $354,813.39 / $354,813.39	Professional		$245,470.89	$354,813.39	$354,813.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $48,977.88 / $48,977.88 / $48,977.88	Professional		$48,977.88	$48,977.88	$48,977.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $47,863.01 / $60,255.96	Facility		$13,803.84	$47,863.01	$60,255.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $45,708.82	Professional		$22,908.68	$22,908.68	$45,708.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $89,125.09 / $89,125.09 / $89,125.09	Professional		$89,125.09	$89,125.09	$89,125.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $38,904.51 / $43,651.58	Professional		$38,904.51	$38,904.51	$43,651.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $28,183.83 / $58,884.37	Facility		$3,548.13	$28,183.83	$58,884.37
United Facility/Professional Professional Modifier Low / Median / High Price $19,952.62 / $23,988.33 / $42,657.95	Professional		$19,952.62	$23,988.33	$42,657.95