Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $16,982.44	Facility		$1,778.28	$6,025.60	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $3,890.45	Professional		$660.69	$794.33	$3,890.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $16,982.44 / $28,840.32	Facility		$11,748.98	$16,982.44	$28,840.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,238.72	Professional		$933.25	$1,258.93	$2,238.72
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,995.26	Professional		$691.83	$1,000.00	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,862.09	Professional		$724.44	$933.25	$1,862.09
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $912.01	Professional		$602.56	$691.83	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,513.56	Professional		$588.84	$776.25	$1,513.56
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,677.35	Facility		$1,995.26	$1,995.26	$4,677.35
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,309.57 / $6,309.57	Professional		$5,370.32	$6,309.57	$6,309.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $831.76 / $1,445.44	Facility		$676.08	$831.76	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,905.46	Professional		$724.44	$954.99	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,023.29	Professional		$562.34	$776.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $6,456.54	Facility		$588.84	$1,584.89	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,513.56	Professional		$562.34	$776.25	$1,513.56