Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $14,791.08 / $23,988.33	Facility		$5,011.87	$14,791.08	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $4,168.69	Professional		$2,344.23	$2,951.21	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $8,912.51 / $18,197.01	Facility		$4,677.35	$8,912.51	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,677.35 / $8,912.51	Professional		$3,162.28	$4,677.35	$8,912.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $8,317.64 / $34,673.69	Facility		$69.18	$8,317.64	$34,673.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $7,079.46	Professional		$2,089.30	$2,818.38	$7,079.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,677.35 / $11,481.54	Facility		$2,398.83	$4,677.35	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,897.79	Professional		$2,884.03	$3,630.78	$4,897.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $6,309.57	Professional		$3,235.94	$3,981.07	$6,309.57
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Facility		$16,982.44	$16,982.44	$16,982.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $26,915.35 / $26,915.35	Professional		$18,197.01	$26,915.35	$26,915.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $4,365.16 / $8,912.51	Facility		$2,884.03	$4,365.16	$8,912.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,981.07 / $5,128.61	Professional		$3,630.78	$3,981.07	$5,128.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $43,651.58	Professional		$2,884.03	$3,630.78	$43,651.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,630.78 / $3,630.78	Facility		$1,513.56	$3,630.78	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $6,918.31	Professional		$1,513.56	$1,513.56	$6,918.31