Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.91 / $1,004.91 / $4,899.82	Facility		$1,004.91	$1,004.91	$4,899.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $702.96 / $1,004.91 / $4,899.82	Professional		$702.96	$1,004.91	$4,899.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,456.00	Facility		$2,137.00	$5,863.00	$11,456.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.30 / $1,260.22 / $2,851.53	Professional		$265.30	$1,260.22	$2,851.53
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $4,062.37 / $7,651.34 / $12,882.22	Facility		$4,062.37	$7,651.34	$12,882.22
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $735.13 / $2,216.32	Professional		$208.30	$735.13	$2,216.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $397.82 / $1,427.08	Professional		$275.83	$397.82	$1,427.08
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $201.31 / $896.53	Professional		$160.46	$201.31	$896.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $488.64 / $1,009.50	Professional		$176.76	$488.64	$1,009.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $843.70 / $1,115.36	Facility		$55.00	$843.70	$1,115.36
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,620.59 / $4,455.57 / $5,015.70	Professional		$2,620.59	$4,455.57	$5,015.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.54 / $437.54 / $1,083.31	Facility		$201.54	$437.54	$1,083.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $527.75 / $1,699.96	Professional		$176.76	$527.75	$1,699.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $587.86 / $587.86 / $2,490.87	Professional		$587.86	$587.86	$2,490.87
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $160.46 / $208.60 / $830.18	Professional		$160.46	$208.60	$830.18
United Facility/Professional Professional Modifier Low / Median / High Price $637.49 / $1,002.55 / $2,255.44	Professional		$637.49	$1,002.55	$2,255.44