Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.04 / $1,241.06 / $7,034.45	Professional		$870.04	$1,241.06	$7,034.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $157.69 / $4,011.63	Facility		$142.32	$157.69	$4,011.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,576.95 / $2,122.69 / $2,460.04	Professional		$1,576.95	$2,122.69	$2,460.04
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,362.81 / $3,362.81 / $3,362.81	Facility		$3,362.81	$3,362.81	$3,362.81
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,317.69 / $1,317.69 / $2,256.46	Professional		$1,317.69	$1,317.69	$2,256.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,772.06 / $1,772.06 / $2,256.46	Facility		$1,772.06	$1,772.06	$2,256.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $2,831.25	Professional		$1,506.25	$1,772.06	$2,831.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,805.18 / $1,805.18 / $2,166.21	Professional		$1,805.18	$1,805.18	$2,166.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,656.94 / $1,933.09 / $3,313.87	Professional		$1,656.94	$1,933.09	$3,313.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,052.56 / $11,540.27 / $11,540.27	Facility		$3,052.56	$11,540.27	$11,540.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,603.89 / $1,772.06 / $2,351.07	Facility		$1,603.89	$1,772.06	$2,351.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,506.25 / $1,772.06 / $2,111.63	Professional		$1,506.25	$1,772.06	$2,111.63
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,601.78 / $4,601.78 / $4,601.78	Professional		$4,601.78	$4,601.78	$4,601.78
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,805.18 / $1,805.18 / $1,880.86	Professional		$1,805.18	$1,805.18	$1,880.86
United Facility/Professional Facility Modifier Low / Median / High Price $92.81 / $835.24 / $1,516.82	Facility		$92.81	$835.24	$1,516.82
United Facility/Professional Professional Modifier Low / Median / High Price $1,013.61 / $1,216.33 / $3,037.72	Professional		$1,013.61	$1,216.33	$3,037.72