Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,495.55 / $11,953.80 / $21,072.40	Facility		$3,495.55	$11,953.80	$21,072.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,545.13 / $15,105.70 / $16,776.00	Professional		$3,545.13	$15,105.70	$16,776.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $14,612.17	Facility		$244.00	$614.00	$14,612.17
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 / $2,108.69 / $8,224.81	Facility		$92.60	$2,108.69	$8,224.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,327.05 / $1,895.79 / $4,765.83	Professional		$1,327.05	$1,895.79	$4,765.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,982.54 / $4,891.14 / $9,763.32	Facility		$1,982.54	$4,891.14	$9,763.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $2,916.60 / $3,937.41	Professional		$2,333.28	$2,916.60	$3,937.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,624.94 / $3,354.09 / $5,570.71	Professional		$2,624.94	$3,354.09	$5,570.71
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,074.88 / $13,853.85 / $13,853.85	Facility		$5,074.88	$13,853.85	$13,853.85
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $14,583.00 / $14,583.00 / $21,874.50	Professional		$14,583.00	$14,583.00	$21,874.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,333.28 / $3,499.92 / $7,738.61	Facility		$2,333.28	$3,499.92	$7,738.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $3,208.26 / $4,374.89	Professional		$2,916.60	$3,208.26	$4,374.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,916.60 / $2,916.60 / $2,916.60	Professional		$2,916.60	$2,916.60	$2,916.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,333.28 / $2,624.94 / $3,966.58	Professional		$2,333.28	$2,624.94	$3,966.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,224.97 / $1,317.46 / $7,022.88	Professional		$1,224.97	$1,317.46	$7,022.88