Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $5,495.41	Professional		$933.25	$1,202.26	$5,495.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $3,235.94	Professional		$1,023.29	$1,584.89	$3,235.94
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,951.21	Professional		$1,071.52	$1,548.82	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,818.38	Professional		$1,023.29	$1,380.38	$2,818.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,071.52 / $1,445.44	Professional		$426.58	$1,071.52	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,187.76	Professional		$851.14	$1,122.02	$2,187.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,691.53	Professional		$1,000.00	$1,412.54	$2,691.53
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $977.24	Professional		$537.03	$758.58	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,344.23	Professional		$831.76	$1,122.02	$2,344.23