Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $638.59 / $1,340.68 / $1,708.16	Professional		$638.59	$1,340.68	$1,708.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,792.30 / $2,792.30 / $2,792.30	Facility		$2,792.30	$2,792.30	$2,792.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,523.25 / $2,062.07 / $2,310.00	Professional		$1,523.25	$2,062.07	$2,310.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $3,909.23 / $5,709.53	Professional		$100.00	$3,909.23	$5,709.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $742.34	Professional		$742.34	$742.34	$742.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,546.55 / $1,701.21 / $1,855.86	Professional		$1,546.55	$1,701.21	$1,855.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,391.90 / $1,391.90 / $2,165.17	Professional		$1,391.90	$1,391.90	$2,165.17
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,381.33 / $3,484.94 / $8,038.40	Facility		$2,381.33	$3,484.94	$8,038.40
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $10,207.25 / $10,207.25 / $14,231.48	Professional		$10,207.25	$10,207.25	$14,231.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $930.02 / $1,546.55 / $1,738.20	Facility		$930.02	$1,546.55	$1,738.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $742.34 / $742.34 / $1,962.71	Professional		$742.34	$742.34	$1,962.71
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,919.06 / $2,919.06 / $2,919.06	Professional		$2,919.06	$2,919.06	$2,919.06
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $1,175.00 / $1,175.00 / $1,237.24	Professional		$1,175.00	$1,175.00	$1,237.24
United Facility/Professional Professional Modifier Low / Median / High Price $713.37 / $771.56 / $1,701.21	Professional		$713.37	$771.56	$1,701.21