Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $10,715.19 / $22,908.68	Facility		$4,466.84	$10,715.19	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $11,220.18	Professional		$2,398.83	$3,019.95	$11,220.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,220.18 / $16,982.44 / $28,840.32	Facility		$11,220.18	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,570.88 / $8,709.64	Professional		$3,311.31	$4,570.88	$8,709.64
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $6,025.60	Facility		$61.66	$100.00	$6,025.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $7,762.47	Professional		$2,290.87	$3,311.31	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $7,413.10	Professional		$2,570.40	$3,162.28	$7,413.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $3,090.30	Professional		$2,344.23	$2,570.40	$3,090.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,265.80	Professional		$1,995.26	$2,570.40	$4,265.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $58,884.37	Facility		$54.95	$56.23	$58,884.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $21,379.62 / $21,379.62	Professional		$17,378.01	$21,379.62	$21,379.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,466.84	Facility		$2,290.87	$3,019.95	$4,466.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $7,413.10	Professional		$2,511.89	$3,162.28	$7,413.10
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $18,620.87	Facility		$2,041.74	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $6,606.93	Professional		$2,137.96	$3,162.28	$6,606.93