Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,168.69 / $7,585.78	Facility		$1,737.80	$4,168.69	$7,585.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $7,585.78	Professional		$758.58	$977.24	$7,585.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,691.53 / $5,754.40	Facility		$676.08	$2,691.53	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $2,344.23	Professional		$588.84	$707.95	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,691.53 / $11,220.18	Facility		$69.18	$2,691.53	$11,220.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $2,290.87	Professional		$676.08	$891.25	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,949.84 / $4,073.80	Facility		$776.25	$1,949.84	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,230.27 / $5,754.40	Professional		$630.96	$1,230.27	$5,754.40
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $1,548.82	Professional		$933.25	$1,148.15	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,041.74	Professional		$1,047.13	$1,288.25	$2,041.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,709.64 / $8,709.64	Professional		$5,754.40	$8,709.64	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,380.38 / $3,019.95	Facility		$912.01	$1,380.38	$3,019.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,288.25 / $3,311.31	Professional		$676.08	$1,288.25	$3,311.31
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $13,803.84	Professional		$933.25	$1,148.15	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,148.15 / $1,148.15	Facility		$489.78	$1,148.15	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $2,238.72	Professional		$489.78	$489.78	$2,238.72