Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $19,498.45 / $32,359.37	Facility		$6,606.93	$19,498.45	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $5,495.41	Professional		$3,090.30	$3,890.45	$5,495.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $11,748.98 / $23,988.33	Facility		$6,165.95	$11,748.98	$23,988.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,754.40 / $10,964.78	Professional		$4,073.80	$5,754.40	$10,964.78
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $11,220.18 / $45,708.82	Facility		$69.18	$11,220.18	$45,708.82
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $9,549.93	Professional		$2,818.38	$3,715.35	$9,549.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $6,165.95 / $15,488.17	Facility		$3,235.94	$6,165.95	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,754.40 / $6,456.54	Professional		$4,786.30	$5,754.40	$6,456.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,248.07 / $8,317.64	Professional		$4,265.80	$5,248.07	$8,317.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Facility		$22,908.68	$22,908.68	$22,908.68
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $35,481.34 / $35,481.34	Professional		$23,988.33	$35,481.34	$35,481.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $11,748.98	Facility		$3,801.89	$5,754.40	$11,748.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $5,248.07 / $6,918.31	Professional		$4,786.30	$5,248.07	$6,918.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $4,786.30 / $4,786.30	Facility		$1,995.26	$4,786.30	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $9,120.11	Professional		$1,995.26	$1,995.26	$9,120.11