Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.36 / $1,184.25 / $2,103.21	Professional		$728.36	$1,184.25	$2,103.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.77 / $164.84 / $4,333.78	Facility		$148.77	$164.84	$4,333.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,109.20 / $1,648.37 / $2,583.10	Professional		$1,109.20	$1,648.37	$2,583.10
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,006.97 / $3,006.97 / $3,006.97	Facility		$3,006.97	$3,006.97	$3,006.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,372.71 / $2,017.70	Professional		$100.00	$1,372.71	$2,017.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,272.49 / $1,460.50 / $2,179.12	Facility		$1,272.49	$1,460.50	$2,179.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $2,994.75	Professional		$1,241.43	$1,460.50	$2,994.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,817.84 / $1,817.84 / $2,181.41	Professional		$1,817.84	$1,817.84	$2,181.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,523.92 / $1,777.91 / $3,047.84	Professional		$1,523.92	$1,777.91	$3,047.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,682.81 / $12,056.48 / $12,064.38	Facility		$3,682.81	$12,056.48	$12,064.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.15 / $1,696.40 / $2,539.87	Facility		$707.15	$1,696.40	$2,539.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $1,825.63	Professional		$1,241.43	$1,460.50	$1,825.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,793.92 / $4,793.92 / $4,793.92	Professional		$4,793.92	$4,793.92	$4,793.92
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,817.84 / $1,817.84 / $2,031.90	Professional		$1,817.84	$1,817.84	$2,031.90
United Facility/Professional Professional Modifier Low / Median / High Price $859.23 / $1,095.38 / $2,170.98	Professional		$859.23	$1,095.38	$2,170.98