Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,585.00 / $11,490.20 / $34,332.30	Facility		$3,585.00	$11,490.20	$34,332.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,605.10 / $3,967.40 / $4,063.00	Professional		$2,605.10	$3,967.40	$4,063.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $9,233.53 / $23,799.62	Facility		$614.00	$9,233.53	$23,799.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,824.00 / $5,450.92 / $10,967.77	Professional		$3,824.00	$5,450.92	$10,967.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $6,309.60 / $42,876.60	Facility		$59.40	$6,309.60	$42,876.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,174.90 / $3,107.00 / $7,810.69	Professional		$2,174.90	$3,107.00	$7,810.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,200.91 / $5,530.46 / $12,086.23	Facility		$3,200.91	$5,530.46	$12,086.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,250.40 / $3,250.40 / $3,250.40	Professional		$3,250.40	$3,250.40	$3,250.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,736.00 / $7,648.00	Professional		$4,780.00	$5,736.00	$7,648.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,302.00 / $5,497.00 / $10,420.40	Professional		$4,302.00	$5,497.00	$10,420.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.20 / $22,705.00 / $22,705.00	Facility		$8,317.20	$22,705.00	$22,705.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,900.00 / $23,900.00 / $35,850.00	Professional		$23,900.00	$23,900.00	$35,850.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,824.00 / $5,736.00 / $11,414.26	Facility		$3,824.00	$5,736.00	$11,414.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $5,258.00 / $7,170.00	Professional		$4,780.00	$5,258.00	$7,170.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,780.00 / $4,780.00 / $4,780.00	Professional		$4,780.00	$4,780.00	$4,780.00
United Facility/Professional Facility Modifier Low / Median / High Price $5,736.00 / $5,736.00 / $5,736.00	Facility		$5,736.00	$5,736.00	$5,736.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,007.60 / $2,088.71 / $12,298.94	Professional		$2,007.60	$2,088.71	$12,298.94