Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,454.71 / $3,981.07	Facility		$831.76	$2,454.71	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $691.83	Professional		$389.05	$489.78	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $3,019.95	Facility		$776.25	$1,479.11	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $1,071.52	Professional		$239.88	$354.81	$1,071.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,548.82 / $5,888.44	Facility		$61.66	$1,548.82	$5,888.44
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $1,174.90	Professional		$346.74	$467.74	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $1,995.26	Facility		$407.38	$1,000.00	$1,995.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $812.83	Professional		$602.56	$660.69	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,047.13	Professional		$537.03	$660.69	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $4,466.84	Professional		$3,019.95	$4,466.84	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $724.44 / $1,548.82	Facility		$467.74	$724.44	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $851.14	Professional		$602.56	$660.69	$851.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $602.56 / $602.56	Facility		$251.19	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $1,148.15	Professional		$251.19	$251.19	$1,148.15