Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,354.35 / $2,027.11 / $11,840.10	Professional		$1,354.35	$2,027.11	$11,840.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $203.72 / $225.73 / $6,960.80	Facility		$203.72	$225.73	$6,960.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,257.26 / $3,304.30 / $4,086.31	Professional		$2,257.26	$3,304.30	$4,086.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $5,234.68 / $5,234.68 / $5,234.68	Facility		$5,234.68	$5,234.68	$5,234.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $2,217.88 / $2,217.88 / $3,875.50	Professional		$2,217.88	$2,217.88	$3,875.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,672.64 / $2,672.64 / $3,512.51	Facility		$2,672.64	$2,672.64	$3,512.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $4,729.50	Professional		$2,271.73	$2,672.64	$4,729.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $2,810.01 / $2,810.01 / $3,372.01	Professional		$2,810.01	$2,810.01	$3,372.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,550.29 / $2,975.34 / $5,100.58	Professional		$2,550.29	$2,975.34	$5,100.58
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,915.23 / $19,176.53 / $19,377.48	Facility		$5,915.23	$19,176.53	$19,377.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,496.69 / $2,708.49 / $4,079.47	Facility		$2,496.69	$2,708.49	$4,079.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $2,271.73 / $2,672.64 / $2,808.00	Professional		$2,271.73	$2,672.64	$2,808.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $7,745.53 / $7,745.53 / $7,745.53	Professional		$7,745.53	$7,745.53	$7,745.53
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $2,810.01 / $2,810.01 / $3,263.58	Professional		$2,810.01	$2,810.01	$3,263.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.26 / $2,047.28 / $2,803.67	Professional		$1,584.26	$2,047.28	$2,803.67