Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,737.80 / $2,884.03	Facility		$588.84	$1,737.80	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $489.78	Professional		$275.42	$346.74	$489.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,137.96 / $2,187.76	Facility		$1,071.52	$2,137.96	$2,187.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $776.25	Professional		$57.54	$81.28	$776.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $954.99 / $1,202.26	Facility		$309.03	$954.99	$1,202.26
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $331.13 / $851.14	Professional		$251.19	$331.13	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $724.44 / $1,513.56	Facility		$288.40	$724.44	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $575.44	Professional		$426.58	$512.86	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $741.31	Professional		$380.19	$467.74	$741.31
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $3,235.94	Professional		$2,137.96	$3,235.94	$3,235.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $1,258.93	Facility		$338.84	$512.86	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $616.60	Professional		$426.58	$467.74	$616.60
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $426.58 / $426.58	Facility		$177.83	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $812.83	Professional		$177.83	$177.83	$812.83