Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,474.48 / $9,639.00 / $20,509.00	Facility		$1,474.48	$9,639.00	$20,509.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,300.94 / $1,474.48 / $7,832.74	Professional		$1,300.94	$1,474.48	$7,832.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,597.00 / $11,521.00 / $27,257.00	Facility		$4,597.00	$11,521.00	$27,257.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,981.78 / $2,565.02 / $4,994.08	Professional		$1,981.78	$2,565.02	$4,994.08
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 $1,044.83 / $1,621.66 / $3,952.13	Professional		$1,044.83	$1,621.66	$3,952.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,462.44 / $1,937.77 / $5,355.66	Professional		$1,462.44	$1,937.77	$5,355.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,671.99 / $1,839.19 / $2,173.59	Professional		$1,671.99	$1,839.19	$2,173.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,511.21 / $1,937.69 / $3,501.01	Professional		$1,511.21	$1,937.69	$3,501.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $17,886.48 / $21,664.80	Facility		$55.00	$17,886.48	$21,664.80
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,934.64 / $11,091.60 / $14,091.75	Professional		$10,934.64	$11,091.60	$14,091.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,591.37 / $1,922.52 / $2,675.18	Facility		$1,591.37	$1,922.52	$2,675.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,451.20 / $2,015.56 / $4,292.39	Professional		$1,451.20	$2,015.56	$4,292.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,860.06 / $4,860.06 / $4,860.06	Professional		$4,860.06	$4,860.06	$4,860.06
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 $1,264.21 / $1,851.15 / $5,737.56	Professional		$1,264.21	$1,851.15	$5,737.56