Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,232.93 / $23,988.33	Facility		$4,466.84	$10,232.93	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,511.89 / $7,413.10	Professional		$645.65	$2,511.89	$7,413.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $4,897.79	Professional		$776.25	$1,174.90	$4,897.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $3,715.35 / $12,589.25	Facility		$66.07	$3,715.35	$12,589.25
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,511.89 / $5,495.41	Professional		$831.76	$2,511.89	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $2,454.71 / $5,623.41	Professional		$758.58	$2,454.71	$5,623.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $3,548.13 / $4,786.30	Professional		$707.95	$3,548.13	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $2,511.89 / $5,248.07	Professional		$630.96	$2,511.89	$5,248.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $33,884.42 / $33,884.42	Facility		$20,892.96	$33,884.42	$33,884.42
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $21,379.62 / $21,379.62	Professional		$18,197.01	$21,379.62	$21,379.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,548.13	Professional		$2,089.30	$2,089.30	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,380.38 / $4,786.30	Facility		$645.65	$1,380.38	$4,786.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,995.26 / $6,025.60	Professional		$758.58	$1,995.26	$6,025.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $9,549.93	Professional		$2,290.87	$2,290.87	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,585.78 / $15,135.61	Facility		$3,981.07	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $2,041.74 / $4,365.16	Professional		$616.60	$2,041.74	$4,365.16