Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $10,471.29 / $21,379.62	Facility		$4,168.69	$10,471.29	$21,379.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $9,332.54	Professional		$1,548.82	$1,949.84	$9,332.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $11,481.54 / $17,782.79	Facility		$6,456.54	$11,481.54	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $6,165.95	Professional		$2,691.53	$3,467.37	$6,165.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $5,011.87 / $13,182.57	Facility		$66.07	$5,011.87	$13,182.57
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $4,786.30	Professional		$1,584.89	$2,344.23	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $4,677.35	Professional		$1,584.89	$2,089.30	$4,677.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,398.83	Professional		$1,380.38	$1,778.28	$2,398.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,388.44	Professional		$1,445.44	$1,949.84	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $16,595.87	Facility		$1,995.26	$1,995.26	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $14,125.38 / $14,125.38	Professional		$12,022.64	$14,125.38	$14,125.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $3,162.28	Facility		$1,548.82	$2,041.74	$3,162.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $4,466.84	Professional		$1,548.82	$2,089.30	$4,466.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $12,302.69 / $25,703.96	Facility		$6,456.54	$12,302.69	$25,703.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,897.79	Professional		$1,348.96	$1,905.46	$4,897.79