Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $10,061.00 / $22,788.00	Facility		$4,749.00	$10,061.00	$22,788.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,046.81 / $5,657.21 / $21,732.80	Professional		$5,046.81	$5,657.21	$21,732.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,863.00 / $12,014.00 / $25,103.02	Facility		$5,863.00	$12,014.00	$25,103.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,548.23 / $8,581.36 / $17,266.50	Professional		$5,548.23	$8,581.36	$17,266.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $22,046.94	Facility		$63.50	$100.00	$22,046.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,888.89 / $5,951.53 / $14,710.01	Professional		$3,888.89	$5,951.53	$14,710.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,664.61 / $7,390.60 / $20,563.22	Professional		$5,664.61	$7,390.60	$20,563.22
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $927.77 / $1,403.99 / $7,027.97	Professional		$927.77	$1,403.99	$7,027.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,416.56 / $7,005.14 / $12,564.44	Professional		$5,416.56	$7,005.14	$12,564.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $42,466.16 / $52,424.72	Facility		$55.00	$42,466.16	$52,424.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $40,052.16 / $41,111.36 / $48,947.03	Professional		$40,052.16	$41,111.36	$48,947.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,574.73 / $6,774.61 / $9,405.09	Facility		$3,574.73	$6,774.61	$9,405.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,604.11 / $7,390.60 / $15,985.07	Professional		$5,604.11	$7,390.60	$15,985.07
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18,654.75 / $18,654.75 / $18,654.75	Professional		$18,654.75	$18,654.75	$18,654.75
United Facility/Professional Facility Modifier Low / Median / High Price $2,009.00 / $5,159.00 / $20,279.00	Facility		$2,009.00	$5,159.00	$20,279.00
United Facility/Professional Professional Modifier Low / Median / High Price $4,849.62 / $7,101.19 / $21,989.55	Professional		$4,849.62	$7,101.19	$21,989.55