Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,131.68 / $19,860.00	Facility		$2,616.00	$9,131.68	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,308.82 / $1,412.20 / $8,008.29	Professional		$1,308.82	$1,412.20	$8,008.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,242.00 / $9,557.00 / $19,252.00	Facility		$3,242.00	$9,557.00	$19,252.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,410.21 / $3,027.64 / $5,639.42	Professional		$2,410.21	$3,027.64	$5,639.42
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $100.00 / $11,793.11	Facility		$66.00	$100.00	$11,793.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,040.57 / $1,588.70 / $3,936.03	Professional		$1,040.57	$1,588.70	$3,936.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,685.47 / $4,355.56 / $10,261.32	Facility		$3,685.47	$4,355.56	$10,261.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,419.65 / $1,922.68 / $5,625.47	Professional		$1,419.65	$1,922.68	$5,625.47
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,236.04 / $1,807.54 / $2,440.17	Professional		$1,236.04	$1,807.54	$2,440.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,569.89 / $2,040.86 / $3,609.45	Professional		$1,569.89	$2,040.86	$3,609.45
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $16,547.20	Facility		$2,000.00	$2,000.00	$16,547.20
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $11,183.76 / $11,478.64 / $13,004.85	Professional		$11,183.76	$11,478.64	$13,004.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,537.50 / $1,968.79 / $2,892.06	Facility		$1,537.50	$1,968.79	$2,892.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,461.97 / $2,018.32 / $4,311.52	Professional		$1,461.97	$2,018.32	$4,311.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,969.01 / $4,969.01 / $4,969.01	Professional		$4,969.01	$4,969.01	$4,969.01
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,313.00 / $26,451.00	Facility		$5,478.00	$12,313.00	$26,451.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,220.53 / $1,700.01 / $5,152.85	Professional		$1,220.53	$1,700.01	$5,152.85