Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $14,454.40 / $23,442.29	Facility		$4,897.79	$14,454.40	$23,442.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $3,890.45	Professional		$2,290.87	$2,951.21	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $8,709.64 / $17,782.79	Facility		$4,570.88	$8,709.64	$17,782.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,981.07 / $8,128.31	Professional		$1,621.81	$3,981.07	$8,128.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $8,128.31 / $33,884.42	Facility		$69.18	$8,128.31	$33,884.42
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,168.69 / $9,772.37	Professional		$3,162.28	$4,168.69	$9,772.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,888.44 / $11,748.98	Facility		$2,344.23	$5,888.44	$11,748.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $4,677.35	Professional		$2,818.38	$3,467.37	$4,677.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,890.45 / $6,165.95	Professional		$3,162.28	$3,890.45	$6,165.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $26,302.68 / $26,302.68	Professional		$17,378.01	$26,302.68	$26,302.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $4,168.69 / $9,120.11	Facility		$2,754.23	$4,168.69	$9,120.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,890.45 / $5,011.87	Professional		$3,467.37	$3,890.45	$5,011.87
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,467.37 / $41,686.94	Professional		$2,818.38	$3,467.37	$41,686.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,467.37 / $3,467.37	Facility		$1,479.11	$3,467.37	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $6,760.83	Professional		$1,479.11	$1,479.11	$6,760.83