Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,272.50 / $7,916.90 / $21,763.00	Facility		$2,272.50	$7,916.90	$21,763.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,651.35 / $2,514.90 / $2,575.50	Professional		$1,651.35	$2,514.90	$2,575.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $15,180.30	Facility		$244.00	$614.00	$15,180.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,500.00 / $1,770.00 / $3,649.81	Professional		$1,500.00	$1,770.00	$3,649.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $3,999.60 / $27,179.10	Facility		$59.30	$3,999.60	$27,179.10
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,378.65 / $1,969.50 / $4,951.13	Professional		$1,378.65	$1,969.50	$4,951.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,999.04 / $5,081.31 / $10,142.93	Facility		$1,999.04	$5,081.31	$10,142.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,424.00 / $3,030.00 / $4,090.50	Professional		$2,424.00	$3,030.00	$4,090.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,727.00 / $3,484.50 / $5,787.30	Professional		$2,727.00	$3,484.50	$5,787.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,272.20 / $14,392.50 / $14,392.50	Facility		$5,272.20	$14,392.50	$14,392.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,150.00 / $15,150.00 / $22,725.00	Professional		$15,150.00	$15,150.00	$22,725.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,029.03 / $4,581.06 / $9,177.87	Facility		$2,029.03	$4,581.06	$9,177.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,333.00 / $4,545.00	Professional		$3,030.00	$3,333.00	$4,545.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,030.00 / $3,030.00 / $3,030.00	Professional		$3,030.00	$3,030.00	$3,030.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,424.00 / $2,727.00 / $4,120.80	Professional		$2,424.00	$2,727.00	$4,120.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,272.59 / $1,363.50 / $6,718.72	Professional		$1,272.59	$1,363.50	$6,718.72