Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $10,232.93 / $22,908.68	Facility		$4,570.88	$10,232.93	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $5,128.61 / $12,882.50	Professional		$776.25	$5,128.61	$12,882.50
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 $1,071.52 / $2,238.72 / $13,803.84	Professional		$1,071.52	$2,238.72	$13,803.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $6,606.93 / $25,703.96	Facility		$66.07	$6,606.93	$25,703.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $7,244.36 / $16,595.87	Professional		$3,630.78	$7,244.36	$16,595.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $10,232.93	Facility		$8,709.64	$8,709.64	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,862.09 / $12,882.50	Professional		$851.14	$1,862.09	$12,882.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $7,762.47 / $10,232.93	Professional		$776.25	$7,762.47	$10,232.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $5,495.41 / $10,964.78	Professional		$707.95	$5,495.41	$10,964.78
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $38,904.51 / $50,118.72 / $50,118.72	Facility		$38,904.51	$50,118.72	$50,118.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $38,904.51 / $45,708.82 / $45,708.82	Professional		$38,904.51	$45,708.82	$45,708.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $7,585.78	Professional		$4,570.88	$4,570.88	$7,585.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,862.09 / $10,471.29	Facility		$851.14	$1,862.09	$10,471.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,862.09 / $13,489.63	Professional		$851.14	$1,862.09	$13,489.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $20,892.96	Professional		$2,511.89	$2,511.89	$20,892.96
United Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $17,782.79 / $43,651.58	Facility		$9,772.37	$17,782.79	$43,651.58
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $2,570.40 / $12,302.69	Professional		$707.95	$2,570.40	$12,302.69