Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,189.69 / $7,628.45 / $20,970.00	Facility		$2,189.69	$7,628.45	$20,970.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.18 / $2,423.27 / $2,481.66	Professional		$1,591.18	$2,423.27	$2,481.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $14,627.20	Facility		$244.00	$614.00	$14,627.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,506.51 / $2,791.13	Professional		$1,167.83	$1,506.51	$2,791.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,110.87 / $8,233.27	Facility		$92.60	$2,110.87	$8,233.27
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,328.42 / $1,897.74 / $4,770.72	Professional		$1,328.42	$1,897.74	$4,770.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,984.57 / $4,896.17 / $9,773.36	Facility		$1,984.57	$4,896.17	$9,773.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,503.52 / $4,671.35	Professional		$2,919.60	$3,503.52	$4,671.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,627.64 / $3,357.54 / $5,576.44	Professional		$2,627.64	$3,357.54	$5,576.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,080.10 / $13,868.10 / $13,868.10	Facility		$5,080.10	$13,868.10	$13,868.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,598.00 / $14,598.00 / $21,897.00	Professional		$14,598.00	$14,598.00	$21,897.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,335.67 / $3,503.52 / $7,746.57	Facility		$2,335.67	$3,503.52	$7,746.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $3,211.56 / $4,379.39	Professional		$2,919.60	$3,211.56	$4,379.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $5,780.81	Professional		$1,226.23	$1,226.23	$5,780.81