Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,280.22 / $4,280.22 / $20,732.00	Facility		$4,280.22	$4,280.22	$20,732.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,633.25 / $4,280.22 / $20,732.00	Professional		$3,633.25	$4,280.22	$20,732.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,250.30 / $11,015.43 / $22,809.06	Facility		$3,250.30	$11,015.43	$22,809.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,824.84 / $4,353.79 / $7,334.42	Professional		$3,824.84	$4,353.79	$7,334.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $8,507.02 / $15,191.11	Facility		$97.00	$8,507.02	$15,191.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $9,534.00 / $22,207.85	Professional		$100.00	$9,534.00	$22,207.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,360.82 / $4,938.58 / $4,938.58	Facility		$3,360.82	$4,938.58	$4,938.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $3,605.16 / $5,086.74	Professional		$3,605.16	$3,605.16	$5,086.74
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,695.00 / $3,234.00 / $7,904.09	Professional		$2,695.00	$3,234.00	$7,904.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,311.32 / $5,029.88 / $10,922.02	Professional		$4,311.32	$5,029.88	$10,922.02
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $13,782.66 / $37,094.85 / $37,094.85	Facility		$13,782.66	$37,094.85	$37,094.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $47,035.20 / $47,035.20 / $64,549.05	Professional		$47,035.20	$47,035.20	$64,549.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $19,479.22 / $19,479.22 / $19,479.22	Professional		$19,479.22	$19,479.22	$19,479.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,295.27 / $6,352.65 / $7,544.82	Facility		$2,295.27	$6,352.65	$7,544.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,605.16 / $4,938.58 / $7,266.49	Professional		$3,605.16	$4,938.58	$7,266.49
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $13,562.43 / $13,562.43 / $13,562.43	Professional		$13,562.43	$13,562.43	$13,562.43
United Facility/Professional Professional Modifier Low / Median / High Price $3,346.65 / $3,721.83 / $7,126.55	Professional		$3,346.65	$3,721.83	$7,126.55