Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.00 / $8,465.60 / $23,271.30	Facility		$2,430.00	$8,465.60	$23,271.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,765.80 / $2,689.20 / $2,754.00	Professional		$1,765.80	$2,689.20	$2,754.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $16,232.40	Facility		$244.00	$614.00	$16,232.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,671.84 / $3,097.44	Professional		$1,296.00	$1,671.84	$3,097.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,342.52 / $9,136.79	Facility		$92.60	$2,342.52	$9,136.79
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,474.20 / $2,106.00 / $5,294.27	Professional		$1,474.20	$2,106.00	$5,294.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,202.36 / $5,433.48 / $10,845.90	Facility		$2,202.36	$5,433.48	$10,845.90
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,888.00 / $5,184.00	Professional		$3,240.00	$3,888.00	$5,184.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,916.00 / $3,726.00 / $6,188.40	Professional		$2,916.00	$3,726.00	$6,188.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,637.60 / $15,390.00 / $15,390.00	Facility		$5,637.60	$15,390.00	$15,390.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,200.00 / $16,200.00 / $24,300.00	Professional		$16,200.00	$16,200.00	$24,300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $3,888.00 / $8,596.69	Facility		$2,592.00	$3,888.00	$8,596.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,564.00 / $4,860.00	Professional		$3,240.00	$3,564.00	$4,860.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,240.00 / $3,240.00 / $3,240.00	Professional		$3,240.00	$3,240.00	$3,240.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,360.80 / $1,474.20 / $8,336.52	Professional		$1,360.80	$1,474.20	$8,336.52