Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $768.81 / $1,105.77 / $2,385.63	Professional		$768.81	$1,105.77	$2,385.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $139.35 / $3,014.86	Facility		$125.76	$139.35	$3,014.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,393.46 / $1,678.93 / $2,173.80	Professional		$1,393.46	$1,678.93	$2,173.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,971.51 / $2,971.51 / $2,971.51	Facility		$2,971.51	$2,971.51	$2,971.51
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,040.99 / $1,040.99 / $1,993.91	Professional		$1,040.99	$1,040.99	$1,993.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.05 / $1,217.05 / $1,993.91	Facility		$1,217.05	$1,217.05	$1,993.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,034.49 / $2,685.94	Professional		$1,034.49	$1,034.49	$2,685.94
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,595.13 / $1,595.13 / $1,914.16	Professional		$1,595.13	$1,595.13	$1,914.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,356.91 / $1,583.06 / $2,713.82	Professional		$1,356.91	$1,583.06	$2,713.82
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,316.84 / $8,728.48 / $8,728.48	Facility		$2,316.84	$8,728.48	$8,728.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,236.83 / $1,417.27 / $1,766.90	Facility		$1,236.83	$1,417.27	$1,766.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,034.49 / $1,217.05 / $1,217.05	Professional		$1,034.49	$1,217.05	$1,217.05
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,635.45 / $3,635.45 / $3,635.45	Professional		$3,635.45	$3,635.45	$3,635.45
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,413.52 / $1,413.52 / $1,595.13	Professional		$1,413.52	$1,413.52	$1,595.13
United Facility/Professional Professional Modifier Low / Median / High Price $834.89 / $974.37 / $1,563.17	Professional		$834.89	$974.37	$1,563.17