Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,985.43 / $2,074.12 / $2,074.12	Facility		$1,985.43	$2,074.12	$2,074.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $968.37 / $1,985.43 / $2,074.12	Professional		$968.37	$1,985.43	$2,074.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,629.00 / $7,362.00 / $16,460.00	Facility		$2,629.00	$7,362.00	$16,460.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.42 / $759.08 / $1,407.22	Professional		$601.42	$759.08	$1,407.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5,306.99 / $9,742.65 / $16,799.98	Facility		$5,306.99	$9,742.65	$16,799.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $307.16 / $498.00 / $1,268.80	Professional		$307.16	$498.00	$1,268.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.46 / $575.46 / $829.95	Professional		$575.46	$575.46	$829.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $378.25 / $510.64	Professional		$349.96	$378.25	$510.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.21 / $451.13 / $819.39	Professional		$352.21	$451.13	$819.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $924.20 / $1,769.14	Facility		$55.00	$924.20	$1,769.14
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,144.28 / $4,568.99 / $4,568.99	Professional		$4,144.28	$4,568.99	$4,568.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $370.60 / $470.08 / $677.59	Facility		$370.60	$470.08	$677.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $333.20 / $448.45 / $1,037.77	Professional		$333.20	$448.45	$1,037.77
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,231.92 / $1,231.92 / $1,231.92	Professional		$1,231.92	$1,231.92	$1,231.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.96 / $441.33 / $662.00	Professional		$349.96	$441.33	$662.00
United Facility/Professional Professional Modifier Low / Median / High Price $333.50 / $473.45 / $1,036.40	Professional		$333.50	$473.45	$1,036.40