Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.45 / $1,027.05 / $3,068.79	Facility		$320.45	$1,027.05	$3,068.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.86 / $354.63 / $363.17	Professional		$232.86	$354.63	$363.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $2,140.57	Facility		$244.00	$614.00	$2,140.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.97 / $74.06 / $743.43	Professional		$56.97	$74.06	$743.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $308.91 / $1,204.86	Facility		$92.60	$308.91	$1,204.86
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $194.40 / $277.72 / $698.16	Professional		$194.40	$277.72	$698.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $290.42 / $716.52 / $1,430.26	Facility		$290.42	$716.52	$1,430.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $512.71 / $683.62	Professional		$427.26	$512.71	$683.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.53 / $491.35 / $816.07	Professional		$384.53	$491.35	$816.07
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $743.43 / $2,029.49 / $2,029.49	Facility		$743.43	$2,029.49	$2,029.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,136.30 / $2,136.30 / $3,204.45	Professional		$2,136.30	$2,136.30	$3,204.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $341.81 / $512.71 / $1,225.58	Facility		$341.81	$512.71	$1,225.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $469.99 / $640.89	Professional		$427.26	$469.99	$640.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $427.26 / $427.26 / $427.26	Professional		$427.26	$427.26	$427.26
United Facility/Professional Professional Modifier Low / Median / High Price $179.45 / $181.16 / $943.39	Professional		$179.45	$181.16	$943.39