Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,836.42 / $6,357.03 / $15,744.20	Facility		$1,836.42	$6,357.03	$15,744.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,591.56 / $2,081.28 / $9,098.85	Professional		$1,591.56	$2,081.28	$9,098.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $4,398.10 / $12,071.40	Facility		$614.00	$4,398.10	$12,071.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.42 / $2,294.40 / $5,618.26	Professional		$979.42	$2,294.40	$5,618.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $98.20 / $3,697.33 / $6,733.54	Facility		$98.20	$3,697.33	$6,733.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,114.08 / $1,591.56 / $4,001.02	Professional		$1,114.08	$1,591.56	$4,001.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,664.39 / $4,106.22 / $8,196.53	Facility		$1,664.39	$4,106.22	$8,196.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,254.54 / $2,106.19 / $9,956.12	Professional		$1,254.54	$2,106.19	$9,956.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,448.56 / $2,693.42 / $3,305.56	Professional		$2,448.56	$2,693.42	$3,305.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,203.69 / $2,815.84 / $4,676.75	Professional		$2,203.69	$2,815.84	$4,676.75
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,260.49 / $11,630.66 / $11,630.66	Facility		$4,260.49	$11,630.66	$11,630.66
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $12,242.80 / $12,242.80 / $18,364.20	Professional		$12,242.80	$12,242.80	$18,364.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,958.85 / $2,938.27 / $7,023.55	Facility		$1,958.85	$2,938.27	$7,023.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,315.45 / $2,815.84 / $6,620.82	Professional		$1,315.45	$2,815.84	$6,620.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $8,594.44 / $8,594.44 / $8,594.44	Professional		$8,594.44	$8,594.44	$8,594.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.40 / $1,028.40 / $4,914.26	Professional		$1,028.40	$1,028.40	$4,914.26