Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,846.14 / $5,063.22 / $5,063.22	Facility		$4,846.14	$5,063.22	$5,063.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,361.50 / $4,846.14 / $5,063.22	Professional		$2,361.50	$4,846.14	$5,063.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,846.00 / $12,360.00 / $23,933.00	Facility		$3,846.00	$12,360.00	$23,933.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,455.87 / $1,924.03 / $3,406.46	Professional		$1,455.87	$1,924.03	$3,406.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5,306.99 / $9,742.65 / $16,799.98	Facility		$5,306.99	$9,742.65	$16,799.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $778.83 / $1,257.55 / $3,163.48	Professional		$778.83	$1,257.55	$3,163.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,403.54 / $1,403.54 / $2,024.22	Professional		$1,403.54	$1,403.54	$2,024.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $891.29 / $922.48 / $1,245.34	Professional		$891.29	$922.48	$1,245.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $830.23 / $1,094.15 / $1,998.19	Professional		$830.23	$1,094.15	$1,998.19
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $9,619.17 / $11,798.93	Facility		$55.00	$9,619.17	$11,798.93
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,107.12 / $10,107.12 / $10,107.12	Professional		$10,107.12	$10,107.12	$10,107.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.81 / $1,146.39 / $1,638.88	Facility		$903.81	$1,146.39	$1,638.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $812.17 / $1,093.09 / $2,531.96	Professional		$812.17	$1,093.09	$2,531.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,006.94 / $3,006.94 / $3,006.94	Professional		$3,006.94	$3,006.94	$3,006.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $880.04 / $1,123.98 / $1,685.97	Professional		$880.04	$1,123.98	$1,685.97
United Facility/Professional Professional Modifier Low / Median / High Price $813.20 / $1,150.86 / $2,640.09	Professional		$813.20	$1,150.86	$2,640.09