Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,221.18 / $4,221.18 / $22,150.00	Facility		$4,221.18	$4,221.18	$22,150.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,376.27 / $4,221.18 / $22,150.00	Professional		$3,376.27	$4,221.18	$22,150.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,074.37 / $3,702.64 / $9,789.51	Facility		$3,074.37	$3,702.64	$9,789.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,940.66 / $4,300.34 / $7,314.95	Professional		$3,940.66	$4,300.34	$7,314.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $10,186.08 / $23,726.79	Professional		$100.00	$10,186.08	$23,726.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,037.53 / $4,391.66 / $4,391.66	Facility		$4,037.53	$4,391.66	$4,391.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $3,732.91 / $4,523.41	Professional		$3,732.91	$3,732.91	$4,523.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $6,141.60 / $7,677.00 / $9,212.40	Professional		$6,141.60	$7,677.00	$9,212.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,606.20 / $5,373.90 / $11,669.04	Professional		$4,606.20	$5,373.90	$11,669.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,967.05 / $36,465.75 / $36,465.75	Facility		$15,967.05	$36,465.75	$36,465.75
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $39,678.90 / $39,678.90 / $57,577.50	Professional		$39,678.90	$39,678.90	$57,577.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $16,210.17 / $16,210.17 / $16,210.17	Professional		$16,210.17	$16,210.17	$16,210.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,263.62 / $6,923.17 / $7,907.40	Facility		$2,263.62	$6,923.17	$7,907.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,732.91 / $4,391.66 / $7,307.09	Professional		$3,732.91	$4,391.66	$7,307.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $14,490.04 / $14,490.04 / $14,490.04	Professional		$14,490.04	$14,490.04	$14,490.04
United Facility/Professional Professional Modifier Low / Median / High Price $3,300.49 / $3,829.97 / $7,677.17	Professional		$3,300.49	$3,829.97	$7,677.17