Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $986.00 / $3,359.30 / $7,552.76	Facility		$986.00	$3,359.30	$7,552.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $754.00 / $986.00 / $7,458.80	Professional		$754.00	$986.00	$7,458.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.49 / $2,083.59 / $5,718.80	Facility		$590.49	$2,083.59	$5,718.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.64 / $623.61 / $1,958.54	Professional		$584.64	$623.61	$1,958.54
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,531.20 / $10,405.20	Facility		$59.40	$1,531.20	$10,405.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $527.79 / $754.00 / $1,895.48	Professional		$527.79	$754.00	$1,895.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.50 / $1,945.32 / $3,883.10	Facility		$788.50	$1,945.32	$3,883.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $617.70 / $1,014.26 / $2,240.48	Professional		$617.70	$1,014.26	$2,240.48
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $1,160.00 / $1,566.00	Professional		$928.00	$1,160.00	$1,566.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.00 / $1,334.00 / $2,552.00	Professional		$1,044.00	$1,334.00	$2,552.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,018.40 / $5,510.00 / $5,510.00	Facility		$2,018.40	$5,510.00	$5,510.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,800.00 / $5,800.00 / $8,700.00	Professional		$5,800.00	$5,800.00	$8,700.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $928.00 / $1,392.00 / $3,077.83	Facility		$928.00	$1,392.00	$3,077.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $904.76 / $1,316.77 / $2,240.48	Professional		$904.76	$1,316.77	$2,240.48
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,071.60 / $4,071.60 / $4,071.60	Professional		$4,071.60	$4,071.60	$4,071.60
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $928.00 / $1,044.00 / $1,577.60	Professional		$928.00	$1,044.00	$1,577.60
United Facility/Professional Facility Modifier Low / Median / High Price $487.20 / $1,160.00 / $1,160.00	Facility		$487.20	$1,160.00	$1,160.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.20 / $522.00 / $2,572.17	Professional		$487.20	$522.00	$2,572.17