Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.35 / $605.04 / $3,455.08	Professional		$434.35	$605.04	$3,455.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $90.49 / $1,976.37	Facility		$81.67	$90.49	$1,976.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $638.75 / $904.89 / $1,411.63	Professional		$638.75	$904.89	$1,411.63
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,639.45 / $1,639.45 / $1,639.45	Facility		$1,639.45	$1,639.45	$1,639.45
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $647.21 / $1,100.08	Professional		$100.00	$647.21	$1,100.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $542.66 / $1,986.93	Facility		$542.66	$542.66	$1,986.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $461.26 / $1,327.88	Professional		$396.14	$461.26	$1,327.88
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,064.58 / $1,064.58 / $1,277.50	Professional		$1,064.58	$1,064.58	$1,277.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $804.59 / $938.69 / $1,609.18	Professional		$804.59	$938.69	$1,609.18
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,833.32 / $5,719.94 / $5,719.94	Facility		$1,833.32	$5,719.94	$5,719.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.66 / $826.49 / $1,384.79	Facility		$542.66	$826.49	$1,384.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $396.14 / $542.66 / $810.00	Professional		$396.14	$542.66	$810.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,260.23 / $2,260.23 / $2,260.23	Professional		$2,260.23	$2,260.23	$2,260.23
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $926.62 / $926.62 / $1,064.58	Professional		$926.62	$926.62	$1,064.58
United Facility/Professional Professional Modifier Low / Median / High Price $467.64 / $561.16 / $1,061.99	Professional		$467.64	$561.16	$1,061.99