Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.25 / $901.43 / $2,693.44	Facility		$281.25	$901.43	$2,693.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.38 / $300.00 / $318.75	Professional		$204.38	$300.00	$318.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.00 / $945.00 / $945.00	Facility		$945.00	$945.00	$945.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.41 / $253.07 / $652.50	Professional		$168.41	$253.07	$652.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $271.13 / $1,057.50	Facility		$92.60	$271.13	$1,057.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $170.63 / $243.75 / $612.76	Professional		$170.63	$243.75	$612.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.91 / $628.88 / $1,255.31	Facility		$254.91	$628.88	$1,255.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $412.50 / $506.25	Professional		$375.00	$412.50	$506.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $431.25 / $716.25	Professional		$337.50	$431.25	$716.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $652.50 / $1,781.25 / $1,781.25	Facility		$652.50	$1,781.25	$1,781.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $2,812.50	Professional		$1,875.00	$1,875.00	$2,812.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $262.50 / $262.50	Professional		$262.50	$262.50	$262.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $450.00 / $1,075.67	Facility		$300.00	$450.00	$1,075.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $412.50 / $562.50	Professional		$375.00	$412.50	$562.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Professional		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.50 / $157.50 / $745.05	Professional		$157.50	$157.50	$745.05