Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $14,454.40 / $23,988.33	Facility		$5,623.41	$14,454.40	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $3,311.31	Professional		$2,344.23	$2,884.03	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,709.64 / $17,782.79	Facility		$4,570.88	$8,709.64	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,019.95	Professional		$1,148.15	$1,380.38	$3,019.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $8,128.31 / $33,884.42	Facility		$69.18	$8,128.31	$33,884.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $8,128.31	Professional		$2,041.74	$2,754.23	$8,128.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $11,748.98	Facility		$2,344.23	$5,370.32	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $4,073.80 / $5,370.32	Professional		$1,659.59	$4,073.80	$5,370.32
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,548.13 / $5,623.41	Professional		$100.00	$3,548.13	$5,623.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,548.13 / $6,165.95	Professional		$2,818.38	$3,548.13	$6,165.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,073.80 / $8,709.64	Facility		$2,344.23	$4,073.80	$8,709.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $2,691.53 / $3,548.13	Professional		$28.18	$2,691.53	$3,548.13
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $3,548.13	Facility		$1,479.11	$1,949.84	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $6,309.57	Professional		$1,479.11	$1,584.89	$6,309.57