Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,616.00 / $9,424.00 / $19,860.00	Facility		$2,616.00	$9,424.00	$19,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,451.45 / $1,563.54 / $8,825.31	Professional		$1,451.45	$1,563.54	$8,825.31
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 $2,674.21 / $3,353.25 / $6,257.13	Professional		$2,674.21	$3,353.25	$6,257.13
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 $1,152.08 / $1,764.04 / $4,357.85	Professional		$1,152.08	$1,764.04	$4,357.85
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 $1,573.04 / $2,149.17 / $6,228.36	Professional		$1,573.04	$2,149.17	$6,228.36
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,370.81 / $1,980.53 / $2,673.72	Professional		$1,370.81	$1,980.53	$2,673.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,706.88 / $2,218.94 / $3,935.32	Professional		$1,706.88	$2,218.94	$3,935.32
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 $12,123.44 / $12,494.88 / $14,107.35	Professional		$12,123.44	$12,494.88	$14,107.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,673.97 / $2,146.54 / $3,168.85	Facility		$1,673.97	$2,146.54	$3,168.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,622.11 / $2,221.36 / $4,765.62	Professional		$1,622.11	$2,221.36	$4,765.62
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,475.93 / $5,475.93 / $5,475.93	Professional		$5,475.93	$5,475.93	$5,475.93
United Facility/Professional Facility Modifier Low / Median / High Price $5,478.00 / $12,341.00 / $26,672.00	Facility		$5,478.00	$12,341.00	$26,672.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,340.09 / $1,962.26 / $5,691.00	Professional		$1,340.09	$1,962.26	$5,691.00