Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,943.28 / $13,489.63	Facility		$2,511.89	$7,943.28	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,949.84	Professional		$1,258.93	$1,584.89	$1,949.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,897.79 / $8,912.51	Facility		$2,511.89	$4,897.79	$8,912.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $457.09 / $2,818.38	Professional		$323.59	$457.09	$2,818.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $4,570.88 / $18,620.87	Facility		$69.18	$4,570.88	$18,620.87
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $3,801.89	Professional		$1,148.15	$1,513.56	$3,801.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,235.94 / $6,456.54	Facility		$1,258.93	$3,235.94	$6,456.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,344.23 / $2,630.27	Professional		$1,949.84	$2,344.23	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,388.44	Professional		$1,737.80	$2,137.96	$3,388.44
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $14,791.08 / $14,791.08	Professional		$9,772.37	$14,791.08	$14,791.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $5,128.61	Facility		$1,513.56	$2,344.23	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,818.38	Professional		$1,949.84	$2,137.96	$2,818.38
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,949.84 / $1,949.84	Facility		$812.83	$1,949.84	$1,949.84
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $3,467.37	Professional		$741.31	$812.83	$3,467.37