Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $13,182.57 / $22,387.21	Facility		$4,466.84	$13,182.57	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,715.35	Professional		$2,089.30	$2,630.27	$3,715.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $16,218.10 / $16,595.87	Facility		$8,128.31	$16,218.10	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,548.13	Professional		$1,288.25	$1,819.70	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,244.36 / $9,120.11	Facility		$2,344.23	$7,244.36	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $6,456.54	Professional		$1,905.46	$2,511.89	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $10,964.78	Facility		$2,187.76	$5,370.32	$10,964.78
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,890.45 / $4,365.16	Professional		$3,235.94	$3,890.45	$4,365.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,548.13 / $5,623.41	Professional		$2,884.03	$3,548.13	$5,623.41
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Facility		$15,488.17	$15,488.17	$15,488.17
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $24,547.09 / $24,547.09	Professional		$16,218.10	$24,547.09	$24,547.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,890.45 / $8,511.38	Facility		$2,570.40	$3,890.45	$8,511.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $4,677.35	Professional		$3,235.94	$3,548.13	$4,677.35
Sutter Health Plus 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
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,235.94 / $3,235.94	Facility		$1,348.96	$3,235.94	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $6,165.95	Professional		$1,348.96	$1,348.96	$6,165.95