Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,117.57 / $1,148.83 / $7,216.12	Facility		$1,117.57	$1,148.83	$7,216.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,048.05 / $1,250.00 / $5,163.00	Professional		$1,048.05	$1,250.00	$5,163.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,145.00 / $9,747.00 / $19,696.00	Facility		$3,145.00	$9,747.00	$19,696.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,176.45 / $1,744.82 / $3,612.12	Professional		$1,176.45	$1,744.82	$3,612.12
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $63.50 / $100.00 / $8,389.08	Facility		$63.50	$100.00	$8,389.08
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,074.43 / $1,534.90 / $3,806.55	Professional		$1,074.43	$1,534.90	$3,806.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,192.31 / $1,600.45 / $4,394.71	Professional		$1,192.31	$1,600.45	$4,394.71
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,441.91 / $1,586.10 / $1,874.48	Professional		$1,441.91	$1,586.10	$1,874.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,318.54 / $1,711.00 / $3,041.63	Professional		$1,318.54	$1,711.00	$3,041.63
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $10,354.87 / $12,769.04	Facility		$55.00	$10,354.87	$12,769.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,621.44 / $9,925.36 / $12,063.53	Professional		$9,621.44	$9,925.36	$12,063.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,292.98 / $1,642.83 / $2,253.94	Facility		$1,292.98	$1,642.83	$2,253.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,192.31 / $1,676.11 / $3,711.74	Professional		$1,192.31	$1,676.11	$3,711.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,135.10 / $4,135.10 / $4,135.10	Professional		$4,135.10	$4,135.10	$4,135.10
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 $1,087.79 / $1,562.92 / $4,288.74	Professional		$1,087.79	$1,562.92	$4,288.74