Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,385.07 / $10,061.00 / $20,509.00	Facility		$2,385.07	$10,061.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,269.08 / $2,385.07 / $12,947.30	Professional		$2,269.08	$2,385.07	$12,947.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,294.00 / $14,752.00 / $32,242.00	Facility		$4,294.00	$14,752.00	$32,242.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,050.59 / $4,181.21 / $8,096.55	Professional		$3,050.59	$4,181.21	$8,096.55
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 $1,784.66 / $2,699.34 / $6,014.67	Professional		$1,784.66	$2,699.34	$6,014.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,485.89 / $3,133.98 / $7,950.48	Professional		$2,485.89	$3,133.98	$7,950.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,525.58 / $2,778.14 / $3,283.25	Professional		$2,525.58	$2,778.14	$3,283.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,273.02 / $2,924.28 / $4,731.00	Professional		$2,273.02	$2,924.28	$4,731.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $48,630.33 / $59,984.40	Facility		$55.00	$48,630.33	$59,984.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,450.80 / $17,921.43 / $21,344.18	Professional		$17,450.80	$17,921.43	$21,344.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,375.42 / $2,993.03 / $4,067.22	Facility		$2,375.42	$2,993.03	$4,067.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,485.89 / $3,125.38 / $7,332.50	Professional		$2,485.89	$3,125.38	$7,332.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,033.57 / $8,033.57 / $8,033.57	Professional		$8,033.57	$8,033.57	$8,033.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,047.00 / $5,319.00 / $20,279.00	Facility		$2,047.00	$5,319.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,147.76 / $3,150.32 / $6,779.83	Professional		$2,147.76	$3,150.32	$6,779.83