Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.87 / $680.21 / $1,479.45	Professional		$476.87	$680.21	$1,479.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.91 / $81.90 / $1,688.78	Facility		$73.91	$81.90	$1,688.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $803.58 / $924.89 / $1,292.80	Professional		$803.58	$924.89	$1,292.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $1,843.13 / $1,843.13 / $1,843.13	Facility		$1,843.13	$1,843.13	$1,843.13
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $603.49 / $603.49 / $1,236.75	Professional		$603.49	$603.49	$1,236.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $1,236.75	Facility		$670.25	$670.25	$1,236.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $1,149.75	Professional		$569.71	$670.25	$1,149.75
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $989.40 / $1,187.28	Professional		$989.40	$989.40	$1,187.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.29 / $930.17 / $1,594.58	Professional		$797.29	$930.17	$1,594.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,295.21 / $4,806.31 / $4,806.31	Facility		$1,295.21	$4,806.31	$4,806.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $879.08 / $989.73	Facility		$670.25	$879.08	$989.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $880.23	Professional		$569.71	$670.25	$880.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,107.58 / $2,107.58 / $2,107.58	Professional		$2,107.58	$2,107.58	$2,107.58
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $791.78 / $791.78 / $989.40	Professional		$791.78	$791.78	$989.40
United Facility/Professional Professional Modifier Low / Median / High Price $529.72 / $597.41 / $990.27	Professional		$529.72	$597.41	$990.27