Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.08 / $524.37 / $3,355.80	Professional		$414.08	$524.37	$3,355.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.86 / $86.27 / $1,934.01	Facility		$77.86	$86.27	$1,934.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.94 / $862.67 / $1,345.77	Professional		$608.94	$862.67	$1,345.77
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,562.95 / $1,562.95 / $1,562.95	Facility		$1,562.95	$1,562.95	$1,562.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $786.56 / $786.56 / $786.56	Professional		$786.56	$786.56	$786.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $1,209.31	Facility		$394.97	$394.97	$1,209.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $335.72 / $1,311.75	Professional		$288.33	$335.72	$1,311.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,014.90 / $1,014.90 / $1,217.88	Professional		$1,014.90	$1,014.90	$1,217.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.02 / $905.36 / $1,552.04	Professional		$776.02	$905.36	$1,552.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,643.50 / $5,453.18 / $5,453.18	Facility		$1,643.50	$5,453.18	$5,453.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $414.08 / $823.27 / $1,320.16	Facility		$414.08	$823.27	$1,320.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $394.97 / $777.60	Professional		$288.33	$394.97	$777.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,195.29 / $2,195.29 / $2,195.29	Professional		$2,195.29	$2,195.29	$2,195.29
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $906.76 / $906.76 / $1,014.90	Professional		$906.76	$906.76	$1,014.90
United Facility/Professional Professional Modifier Low / Median / High Price $432.22 / $548.04 / $826.01	Professional		$432.22	$548.04	$826.01