Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $295.12 / $1,737.80	Facility		$181.97	$295.12	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $691.83	Professional		$295.12	$478.63	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $3,630.78	Facility		$1,819.70	$3,630.78	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $338.84 / $1,318.26	Professional		$229.09	$338.84	$1,318.26
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,621.81 / $2,041.74	Facility		$524.81	$1,621.81	$2,041.74
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $1,412.54	Professional		$416.87	$562.34	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $933.25 / $2,344.23	Facility		$478.63	$933.25	$2,344.23
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $977.24	Professional		$575.44	$724.44	$977.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $1,258.93	Professional		$645.65	$794.33	$1,258.93
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,370.32 / $5,370.32	Professional		$3,630.78	$5,370.32	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $870.96 / $1,778.28	Facility		$467.74	$870.96	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,000.00	Professional		$724.44	$724.44	$1,000.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $8,709.64	Professional		$575.44	$724.44	$8,709.64
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $724.44 / $724.44	Facility		$302.00	$724.44	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,380.38	Professional		$302.00	$302.00	$1,380.38