Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.61 / $9,639.00 / $20,509.00	Facility		$1,393.61	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,232.03 / $1,389.12 / $6,646.11	Professional		$1,232.03	$1,389.12	$6,646.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,908.00 / $8,530.00 / $17,774.00	Facility		$3,908.00	$8,530.00	$17,774.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,647.40 / $2,369.19 / $4,407.13	Professional		$1,647.40	$2,369.19	$4,407.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $7,340.45	Facility		$63.50	$100.00	$7,340.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $934.68 / $1,430.07 / $3,186.48	Professional		$934.68	$1,430.07	$3,186.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,252.04 / $1,583.64 / $3,767.59	Professional		$1,252.04	$1,583.64	$3,767.59
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,393.33 / $1,532.66 / $1,811.33	Professional		$1,393.33	$1,532.66	$1,811.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,225.69 / $1,532.11 / $2,845.80	Professional		$1,225.69	$1,532.11	$2,845.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $4,627.00 / $6,158.19	Facility		$55.00	$4,627.00	$6,158.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,193.91 / $10,193.91 / $10,431.08	Professional		$10,193.91	$10,193.91	$10,431.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,274.08 / $1,744.50 / $2,249.79	Facility		$1,274.08	$1,744.50	$2,249.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,255.76 / $1,589.92 / $3,578.24	Professional		$1,255.76	$1,589.92	$3,578.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,123.79 / $4,123.79 / $4,123.79	Professional		$4,123.79	$4,123.79	$4,123.79
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 $1,054.39 / $1,511.48 / $3,329.98	Professional		$1,054.39	$1,511.48	$3,329.98