Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $15,848.93 / $26,915.35	Facility		$5,370.32	$15,848.93	$26,915.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $4,466.84	Professional		$2,511.89	$3,162.28	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,549.93 / $19,498.45	Facility		$5,011.87	$9,549.93	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,466.84 / $8,912.51	Professional		$1,819.70	$4,466.84	$8,912.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $9,120.11 / $37,153.52	Facility		$69.18	$9,120.11	$37,153.52
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $7,762.47	Professional		$2,290.87	$3,019.95	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $6,456.54 / $12,882.50	Facility		$2,570.40	$6,456.54	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,677.35 / $5,248.07	Professional		$3,890.45	$4,677.35	$5,248.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $6,760.83	Professional		$3,467.37	$4,265.80	$6,760.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $19,498.45 / $28,840.32 / $28,840.32	Professional		$19,498.45	$28,840.32	$28,840.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,677.35 / $10,232.93	Facility		$3,090.30	$4,677.35	$10,232.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $5,623.41	Professional		$3,890.45	$4,265.80	$5,623.41
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,890.45 / $3,890.45	Facility		$1,621.81	$3,890.45	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $7,413.10	Professional		$1,621.81	$1,621.81	$7,413.10