Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,000.00 / $6,456.54	Professional		$575.44	$1,000.00	$6,456.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $3,548.13	Professional		$707.95	$1,318.26	$3,548.13
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,162.28	Facility		$2,238.72	$2,238.72	$3,162.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $6,309.57	Professional		$933.25	$1,479.11	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,445.44	Facility		$1,122.02	$1,122.02	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,995.26	Professional		$954.99	$1,122.02	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Professional		$1,202.26	$1,202.26	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,089.30	Professional		$1,096.48	$1,288.25	$2,089.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $8,128.31 / $8,128.31	Facility		$2,630.27	$8,128.31	$8,128.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,148.15 / $1,737.80	Facility		$1,071.52	$1,148.15	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,148.15	Professional		$954.99	$1,096.48	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,412.54	Professional		$1,202.26	$1,202.26	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $537.03 / $1,096.48	Facility		$54.95	$537.03	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,659.59	Professional		$616.60	$851.14	$1,659.59