Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,570.88 / $7,762.47	Facility		$1,380.38	$4,570.88	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,380.38	Professional		$741.31	$1,023.29	$1,380.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,623.41 / $5,623.41	Facility		$3,311.31	$5,623.41	$5,623.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $1,174.90	Professional		$288.40	$389.05	$1,174.90
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,630.27 / $10,715.19	Facility		$69.18	$2,630.27	$10,715.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $2,137.96	Professional		$758.58	$977.24	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,698.24 / $4,365.16	Facility		$851.14	$1,698.24	$4,365.16
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,548.82 / $1,778.28	Professional		$1,318.26	$1,548.82	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,290.87	Professional		$1,174.90	$1,445.44	$2,290.87
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $9,772.37 / $9,772.37	Professional		$6,456.54	$9,772.37	$9,772.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,548.82 / $3,388.44	Facility		$977.24	$1,548.82	$3,388.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,862.09	Professional		$1,318.26	$1,445.44	$1,862.09
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,318.26 / $1,318.26	Facility		$549.54	$1,318.26	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $512.86 / $2,137.96	Professional		$467.74	$512.86	$2,137.96