Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $576.88 / $822.87 / $4,969.49	Professional		$576.88	$822.87	$4,969.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.78 / $96.15 / $2,905.59	Facility		$86.78	$96.15	$2,905.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.46 / $1,407.50 / $1,706.47	Professional		$961.46	$1,407.50	$1,706.47
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $2,229.69 / $2,229.69 / $2,229.69	Facility		$2,229.69	$2,229.69	$2,229.69
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $930.88 / $930.88 / $1,617.72	Professional		$930.88	$930.88	$1,617.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,116.58 / $1,116.58 / $1,496.13	Facility		$1,116.58	$1,116.58	$1,496.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,974.00	Professional		$949.10	$1,116.58	$1,974.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,196.90 / $1,196.90 / $1,436.28	Professional		$1,196.90	$1,196.90	$1,436.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,075.84 / $1,255.16 / $2,151.69	Professional		$1,075.84	$1,255.16	$2,151.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,469.15 / $8,011.55 / $8,088.59	Facility		$2,469.15	$8,011.55	$8,088.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,063.46 / $1,136.77 / $1,702.86	Facility		$1,063.46	$1,136.77	$1,702.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $949.10 / $1,116.58 / $1,188.00	Professional		$949.10	$1,116.58	$1,188.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,250.93 / $3,250.93 / $3,250.93	Professional		$3,250.93	$3,250.93	$3,250.93
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,196.90 / $1,196.90 / $1,362.29	Professional		$1,196.90	$1,196.90	$1,362.29
United Facility/Professional Professional Modifier Low / Median / High Price $676.87 / $859.28 / $1,527.48	Professional		$676.87	$859.28	$1,527.48