Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,826.89 / $5,458.70	Facility		$570.00	$1,826.89	$5,458.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $630.79 / $646.00	Professional		$414.20	$630.79	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,468.09 / $3,784.04	Facility		$614.00	$1,468.09	$3,784.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $410.40 / $1,755.60	Professional		$304.00	$410.40	$1,755.60
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $6,893.20	Facility		$58.70	$100.00	$6,893.20
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $494.00 / $1,241.86	Professional		$345.80	$494.00	$1,241.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.93 / $879.32 / $1,921.66	Facility		$508.93	$879.32	$1,921.66
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,026.00	Professional		$760.00	$836.00	$1,026.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $874.00 / $1,656.80	Professional		$684.00	$874.00	$1,656.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $534.17 / $978.12 / $1,926.60	Facility		$534.17	$978.12	$1,926.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,140.00	Professional		$760.00	$836.00	$1,140.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $1,509.97	Professional		$319.20	$319.20	$1,509.97