Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $875.35 / $1,248.63 / $7,657.53	Professional		$875.35	$1,248.63	$7,657.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $131.66 / $145.88 / $4,502.93	Facility		$131.66	$145.88	$4,502.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,458.91 / $2,135.69 / $2,643.38	Professional		$1,458.91	$2,135.69	$2,643.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $3,383.30 / $3,383.30 / $3,383.30	Facility		$3,383.30	$3,383.30	$3,383.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $1,434.41 / $1,434.41 / $2,507.06	Professional		$1,434.41	$1,434.41	$2,507.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,217.64 / $2,217.64 / $2,270.23	Facility		$2,217.64	$2,217.64	$2,270.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,884.99 / $1,884.99 / $3,059.25	Professional		$1,884.99	$1,884.99	$3,059.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,816.18 / $1,816.18 / $2,179.42	Professional		$1,816.18	$1,816.18	$2,179.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,649.02 / $1,923.86 / $3,298.04	Professional		$1,649.02	$1,923.86	$3,298.04
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,826.56 / $12,404.85 / $12,535.30	Facility		$3,826.56	$12,404.85	$12,535.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,613.67 / $2,102.05 / $2,639.01	Facility		$1,613.67	$2,102.05	$2,639.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,749.60 / $2,217.64 / $2,217.64	Professional		$1,749.60	$2,217.64	$2,217.64
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $5,009.39 / $5,009.39 / $5,009.39	Professional		$5,009.39	$5,009.39	$5,009.39
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,816.18 / $1,816.18 / $2,111.21	Professional		$1,816.18	$1,816.18	$2,111.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,024.85 / $1,324.07 / $2,268.57	Professional		$1,024.85	$1,324.07	$2,268.57