Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.58 / $20,035.90 / $27,387.00	Facility		$320.58	$20,035.90	$27,387.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.58 / $320.58 / $20,035.90	Professional		$320.58	$320.58	$20,035.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $5,596.96 / $15,361.88	Facility		$614.00	$5,596.96	$15,361.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,246.40 / $1,308.72 / $4,674.00	Professional		$1,246.40	$1,308.72	$4,674.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $2,252.87 / $8,787.12	Facility		$92.60	$2,252.87	$8,787.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,417.78 / $2,025.40 / $5,091.64	Professional		$1,417.78	$2,025.40	$5,091.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,208.31 / $5,347.06 / $10,430.81	Facility		$2,208.31	$5,347.06	$10,430.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.25 / $2,070.55 / $9,059.17	Professional		$1,659.25	$2,070.55	$9,059.17
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,116.00 / $3,427.60 / $4,206.60	Professional		$3,116.00	$3,427.60	$4,206.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,804.40 / $3,583.40 / $6,076.20	Professional		$2,804.40	$3,583.40	$6,076.20
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,421.84 / $14,801.00 / $14,801.00	Facility		$5,421.84	$14,801.00	$14,801.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $15,580.00 / $15,580.00 / $23,370.00	Professional		$15,580.00	$15,580.00	$23,370.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,181.19 / $2,181.19 / $2,181.19	Professional		$2,181.19	$2,181.19	$2,181.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,025.40 / $3,739.20 / $8,954.29	Facility		$2,025.40	$3,739.20	$8,954.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,830.62 / $3,427.60 / $6,398.66	Professional		$1,830.62	$3,427.60	$6,398.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $10,937.16 / $10,937.16 / $10,937.16	Professional		$10,937.16	$10,937.16	$10,937.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,308.72 / $1,361.60 / $6,926.87	Professional		$1,308.72	$1,361.60	$6,926.87