Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,699.53 / $5,699.53 / $29,785.70	Facility		$5,699.53	$5,699.53	$29,785.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,323.85 / $5,699.53 / $29,785.70	Professional		$4,323.85	$5,699.53	$29,785.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,494.23 / $4,208.31 / $11,126.45	Facility		$3,494.23	$4,208.31	$11,126.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,777.69 / $4,857.64 / $9,620.07	Professional		$3,777.69	$4,857.64	$9,620.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $13,697.49 / $31,906.05	Professional		$100.00	$13,697.49	$31,906.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,687.89 / $5,687.89 / $5,687.89	Facility		$5,687.89	$5,687.89	$5,687.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $4,834.71 / $5,858.53	Professional		$4,834.71	$4,834.71	$5,858.53
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $8,258.78 / $10,323.46 / $12,388.16	Professional		$8,258.78	$10,323.46	$12,388.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6,194.08 / $7,226.43 / $15,691.67	Professional		$6,194.08	$7,226.43	$15,691.67
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,998.64 / $44,565.35 / $49,036.48	Facility		$20,998.64	$44,565.35	$49,036.48
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $51,366.71 / $51,366.71 / $73,736.70	Professional		$51,366.71	$51,366.71	$73,736.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $20,759.67 / $20,759.67 / $20,759.67	Professional		$20,759.67	$20,759.67	$20,759.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,699.53 / $10,323.46 / $10,839.64	Facility		$5,699.53	$10,323.46	$10,839.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,834.71 / $5,687.89 / $9,721.04	Professional		$4,834.71	$5,687.89	$9,721.04
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $19,485.15 / $19,485.15 / $19,485.15	Professional		$19,485.15	$19,485.15	$19,485.15
United Facility/Professional Professional Modifier Low / Median / High Price $4,274.64 / $4,989.56 / $10,323.46	Professional		$4,274.64	$4,989.56	$10,323.46