Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.94 / $9,639.00 / $20,509.00	Facility		$1,569.94	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,424.06 / $1,569.94 / $7,946.29	Professional		$1,424.06	$1,569.94	$7,946.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,537.00 / $9,830.00 / $20,418.00	Facility		$3,537.00	$9,830.00	$20,418.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,682.59 / $2,733.92 / $5,266.30	Professional		$1,682.59	$2,733.92	$5,266.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $5,485.17	Facility		$63.50	$100.00	$5,485.17
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $942.51 / $1,450.53 / $3,354.82	Professional		$942.51	$1,450.53	$3,354.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,491.78 / $1,905.97 / $4,723.70	Professional		$1,491.78	$1,905.97	$4,723.70
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,597.52 / $1,757.27 / $2,076.78	Professional		$1,597.52	$1,757.27	$2,076.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,437.41 / $1,831.73 / $3,371.56	Professional		$1,437.41	$1,831.73	$3,371.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $22,703.36 / $28,068.64	Facility		$55.00	$22,703.36	$28,068.64
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,147.11 / $12,632.99 / $13,052.33	Professional		$12,147.11	$12,632.99	$13,052.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,521.66 / $1,962.06 / $2,556.03	Facility		$1,521.66	$1,962.06	$2,556.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,480.44 / $1,872.64 / $4,289.02	Professional		$1,480.44	$1,872.64	$4,289.02
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,930.53 / $4,930.53 / $4,930.53	Professional		$4,930.53	$4,930.53	$4,930.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,930.00 / $6,395.00 / $18,709.00	Facility		$1,930.00	$6,395.00	$18,709.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,285.72 / $1,850.73 / $3,924.83	Professional		$1,285.72	$1,850.73	$3,924.83