Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,090.30 / $5,248.07	Facility		$1,071.52	$3,090.30	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $758.58	Professional		$501.19	$616.60	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $3,890.45	Facility		$1,905.46	$3,801.89	$3,890.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $389.05 / $691.83	Professional		$302.00	$389.05	$691.83
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,698.24 / $2,137.96	Facility		$549.54	$1,698.24	$2,137.96
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $1,737.80	Professional		$446.68	$602.56	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,230.27 / $2,570.40	Facility		$512.86	$1,230.27	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $1,148.15	Professional		$549.54	$933.25	$1,148.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $758.58 / $1,202.26	Professional		$100.00	$758.58	$1,202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $758.58 / $1,318.26	Professional		$602.56	$758.58	$1,318.26
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $870.96 / $1,905.46	Facility		$512.86	$870.96	$1,905.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $758.58	Professional		$588.84	$758.58	$758.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $416.87 / $758.58	Facility		$316.23	$416.87	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $346.74 / $1,348.96	Professional		$316.23	$346.74	$1,348.96