Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $796.09 / $1,600.30 / $1,796.50	Facility		$796.09	$1,600.30	$1,796.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $804.05 / $1,684.63	Professional		$796.09	$804.05	$1,684.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $720.14 / $883.66 / $1,146.36	Facility		$720.14	$883.66	$1,146.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $800.15 / $1,384.25	Professional		$796.09	$800.15	$1,384.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $98.60 / $948.84	Facility		$76.20	$98.60	$948.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $811.11 / $811.11 / $1,159.97	Professional		$811.11	$811.11	$1,159.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $751.03 / $796.09	Facility		$751.03	$751.03	$796.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $948.84	Professional		$796.09	$796.09	$948.84
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $608.12 / $760.15 / $836.17	Professional		$608.12	$760.15	$836.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $716.48 / $875.70 / $1,751.40	Professional		$716.48	$875.70	$1,751.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,011.48 / $3,356.12 / $3,356.12	Facility		$1,011.48	$3,356.12	$3,356.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $751.03 / $796.09 / $1,122.43	Facility		$751.03	$796.09	$1,122.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $1,012.86	Professional		$796.09	$796.09	$1,012.86
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,144.52 / $1,144.52 / $1,144.52	Professional		$1,144.52	$1,144.52	$1,144.52
United Facility/Professional Professional Modifier Low / Median / High Price $796.09 / $796.09 / $1,529.29	Professional		$796.09	$796.09	$1,529.29