Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,786.30 / $8,128.31	Facility		$1,445.44	$4,786.30	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,479.11	Professional		$758.58	$1,071.52	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,888.44 / $5,888.44	Facility		$4,365.16	$5,888.44	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $1,548.82	Professional		$288.40	$389.05	$1,548.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,754.23 / $11,220.18	Facility		$69.18	$2,754.23	$11,220.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,884.03	Professional		$1,023.29	$1,318.26	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,290.87 / $5,888.44	Facility		$933.25	$2,290.87	$5,888.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,344.23	Professional		$1,737.80	$2,089.30	$2,344.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,019.95	Professional		$1,584.89	$1,905.46	$3,019.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,709.64 / $13,182.57 / $13,182.57	Professional		$8,709.64	$13,182.57	$13,182.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,089.30 / $4,466.84	Facility		$1,122.02	$2,089.30	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,511.89	Professional		$1,737.80	$1,905.46	$2,511.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,737.80 / $1,737.80	Facility		$724.44	$1,737.80	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $537.03 / $2,344.23	Professional		$489.78	$537.03	$2,344.23