Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,095.70 / $1,095.70 / $6,813.79	Facility		$1,095.70	$1,095.70	$6,813.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.33 / $1,095.70 / $6,813.79	Professional		$758.33	$1,095.70	$6,813.79
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 $287.20 / $1,685.94 / $3,830.08	Professional		$287.20	$1,685.94	$3,830.08
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 $223.00 / $955.15 / $3,015.68	Professional		$223.00	$955.15	$3,015.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.36 / $428.86 / $1,888.62	Professional		$297.36	$428.86	$1,888.62
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $217.32 / $1,197.10	Professional		$171.63	$217.32	$1,197.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $561.70 / $1,347.64	Professional		$189.50	$561.70	$1,347.64
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $1,448.83 / $1,448.83	Facility		$55.00	$1,448.83	$1,448.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,503.22 / $5,964.52 / $6,570.53	Professional		$3,503.22	$5,964.52	$6,570.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.84 / $472.26 / $1,446.51	Facility		$216.84	$472.26	$1,446.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.50 / $567.66 / $2,282.19	Professional		$189.50	$567.66	$2,282.19
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $636.90 / $636.90 / $3,430.70	Professional		$636.90	$636.90	$3,430.70
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $171.63 / $223.12 / $1,108.81	Professional		$171.63	$223.12	$1,108.81
United Facility/Professional Professional Modifier Low / Median / High Price $872.09 / $1,384.91 / $3,189.01	Professional		$872.09	$1,384.91	$3,189.01