Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,462.50 / $5,095.04 / $14,005.90	Facility		$1,462.50	$5,095.04	$14,005.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,462.50 / $1,618.50 / $1,657.50	Professional		$1,462.50	$1,618.50	$1,657.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $3,766.82 / $8,739.90	Facility		$614.00	$3,766.82	$8,739.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.33 / $390.39 / $844.43	Professional		$325.33	$390.39	$844.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $1,409.85 / $17,491.50	Facility		$59.30	$1,409.85	$17,491.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $887.25 / $1,267.50 / $3,186.37	Professional		$887.25	$1,267.50	$3,186.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,289.05 / $3,270.15 / $6,527.63	Facility		$1,289.05	$3,270.15	$6,527.63
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,340.00 / $3,120.00	Professional		$1,950.00	$2,340.00	$3,120.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $2,242.50 / $4,251.00	Professional		$1,755.00	$2,242.50	$4,251.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,393.00 / $9,262.50 / $9,262.50	Facility		$3,393.00	$9,262.50	$9,262.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,711.00 / $9,711.00 / $14,625.00	Professional		$9,711.00	$9,711.00	$14,625.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,412.66 / $2,340.00 / $5,108.99	Facility		$1,412.66	$2,340.00	$5,108.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,950.00 / $2,145.00 / $3,412.50	Professional		$1,950.00	$2,145.00	$3,412.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,755.00 / $1,755.00 / $1,755.00	Professional		$1,755.00	$1,755.00	$1,755.00
United Facility/Professional Professional Modifier Low / Median / High Price $737.10 / $819.00 / $3,891.54	Professional		$737.10	$819.00	$3,891.54