Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,890.45 / $6,309.57	Facility		$1,318.26	$3,890.45	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,047.13	Professional		$616.60	$776.25	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $4,786.30	Facility		$1,230.27	$2,344.23	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,737.80	Professional		$380.19	$562.34	$1,737.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $2,454.71 / $9,332.54	Facility		$61.66	$2,454.71	$9,332.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,862.09	Professional		$549.54	$741.31	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,584.89 / $3,162.28	Facility		$645.65	$1,584.89	$3,162.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,288.25	Professional		$758.58	$954.99	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,659.59	Professional		$851.14	$1,047.13	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $7,079.46 / $7,079.46	Professional		$4,786.30	$7,079.46	$7,079.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,754.23	Facility		$758.58	$1,148.15	$2,754.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,318.26	Professional		$954.99	$954.99	$1,318.26
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $11,481.54	Professional		$758.58	$954.99	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $954.99 / $954.99	Facility		$398.11	$954.99	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $1,819.70	Professional		$398.11	$398.11	$1,819.70