Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,585.78 / $18,197.01	Facility		$3,090.30	$7,585.78	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $4,786.30	Professional		$724.44	$1,000.00	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,128.31 / $15,848.93	Facility		$4,570.88	$8,128.31	$15,848.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $3,235.94	Professional		$724.44	$1,023.29	$3,235.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,388.44 / $8,709.64	Facility		$66.07	$3,388.44	$8,709.64
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,238.72	Professional		$724.44	$954.99	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,187.76	Professional		$758.58	$1,023.29	$2,187.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,023.29 / $1,258.93	Professional		$933.25	$1,023.29	$1,258.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,862.09	Professional		$758.58	$1,000.00	$1,862.09
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $45,708.82 / $45,708.82	Facility		$6,760.83	$45,708.82	$45,708.82
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $7,585.78 / $7,585.78	Professional		$6,309.57	$7,585.78	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,479.11	Facility		$758.58	$1,023.29	$1,479.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $2,187.76	Professional		$741.31	$1,023.29	$2,187.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,585.78 / $15,135.61	Facility		$4,073.80	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,862.09	Professional		$660.69	$891.25	$1,862.09