Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.80 / $1,692.54 / $5,441.52	Facility		$748.80	$1,692.54	$5,441.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $795.49 / $1,200.00 / $5,441.52	Professional		$795.49	$1,200.00	$5,441.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,520.07 / $4,172.10	Facility		$614.00	$1,520.07	$4,172.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $2,893.82 / $5,828.82	Professional		$846.27	$2,893.82	$5,828.82
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $611.85 / $2,386.48	Facility		$92.60	$611.85	$2,386.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $315.00 / $450.00 / $1,181.31	Professional		$315.00	$450.00	$1,181.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.58 / $1,463.21 / $2,832.91	Facility		$544.58	$1,463.21	$2,832.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $727.90 / $2,291.07	Professional		$450.58	$727.90	$2,291.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $930.90 / $1,142.46	Professional		$846.27	$930.90	$1,142.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $761.64 / $973.21 / $1,844.87	Professional		$761.64	$973.21	$1,844.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,472.51 / $4,614.88 / $4,614.88	Facility		$1,472.51	$4,614.88	$4,614.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,231.35 / $4,231.35 / $6,347.03	Professional		$4,231.35	$4,231.35	$6,347.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $677.02 / $1,100.16 / $2,431.90	Facility		$677.02	$1,100.16	$2,431.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $560.71 / $973.21 / $1,692.54	Professional		$560.71	$973.21	$1,692.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,970.40 / $2,970.40 / $2,970.40	Professional		$2,970.40	$2,970.40	$2,970.40
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $677.02 / $863.20 / $1,438.66	Professional		$677.02	$863.20	$1,438.66
United Facility/Professional Professional Modifier Low / Median / High Price $355.43 / $380.82 / $2,620.31	Professional		$355.43	$380.82	$2,620.31