Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $10,715.19 / $23,988.33	Facility		$4,897.79	$10,715.19	$23,988.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $15,848.93	Professional		$5,248.07	$6,025.60	$15,848.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,489.63 / $22,387.21	Facility		$7,943.28	$13,489.63	$22,387.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $8,709.64 / $18,620.87	Professional		$2,951.21	$8,709.64	$18,620.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $100.00 / $24,547.09	Facility		$60.26	$100.00	$24,547.09
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,943.28 / $15,488.17	Professional		$5,370.32	$7,943.28	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,079.46 / $15,135.61	Professional		$5,370.32	$7,079.46	$15,135.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $6,606.93	Professional		$933.25	$1,380.38	$6,606.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,309.57 / $12,022.64	Professional		$4,786.30	$6,309.57	$12,022.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $51,286.14	Facility		$54.95	$56.23	$51,286.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $39,810.72 / $48,977.88 / $48,977.88	Professional		$39,810.72	$48,977.88	$48,977.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $6,760.83 / $11,220.18	Facility		$4,786.30	$6,760.83	$11,220.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $7,079.46 / $15,135.61	Professional		$5,128.61	$7,079.46	$15,135.61
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Professional		$18,620.87	$18,620.87	$18,620.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $6,165.95 / $18,620.87	Facility		$1,995.26	$6,165.95	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,760.83 / $15,848.93	Professional		$4,897.79	$6,760.83	$15,848.93