Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,344.23 / $15,488.17	Professional		$1,348.96	$2,344.23	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $8,511.38	Professional		$1,659.59	$3,162.28	$8,511.38
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $7,585.78	Facility		$5,248.07	$5,248.07	$7,585.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,548.13 / $15,135.61	Professional		$2,238.72	$3,548.13	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,467.37	Facility		$2,691.53	$2,691.53	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $4,677.35	Professional		$2,290.87	$2,691.53	$4,677.35
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,388.44	Professional		$2,818.38	$2,818.38	$3,388.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $5,011.87	Professional		$2,630.27	$3,019.95	$5,011.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $19,498.45 / $19,498.45	Facility		$6,309.57	$19,498.45	$19,498.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $4,168.69	Facility		$2,511.89	$2,691.53	$4,168.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $2,754.23	Professional		$2,290.87	$2,691.53	$2,754.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,388.44	Professional		$2,818.38	$2,818.38	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $1,258.93 / $2,630.27	Facility		$128.82	$1,258.93	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,890.45	Professional		$1,445.44	$2,041.74	$3,890.45