Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $1,546.03 / $5,021.17	Facility		$570.00	$1,546.03	$5,021.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.20 / $570.00 / $646.00	Professional		$414.20	$570.00	$646.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $614.00 / $3,807.60	Facility		$244.00	$614.00	$3,807.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $380.00 / $592.79	Professional		$304.00	$380.00	$592.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $549.48 / $2,143.19	Facility		$92.60	$549.48	$2,143.19
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $494.00 / $903.77	Professional		$345.80	$494.00	$903.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $516.60 / $997.88 / $2,450.23	Facility		$516.60	$997.88	$2,450.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $873.50 / $926.36 / $1,157.95	Professional		$873.50	$926.36	$1,157.95
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $760.00 / $1,216.00	Professional		$99.00	$760.00	$1,216.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.00 / $760.00 / $1,330.00	Professional		$608.00	$760.00	$1,330.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.00 / $3,610.00 / $3,610.00	Facility		$1,216.00	$3,610.00	$3,610.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.70 / $760.00 / $1,695.95	Facility		$499.70	$760.00	$1,695.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $585.20 / $760.00 / $760.00	Professional		$585.20	$760.00	$760.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00
United Facility/Professional Facility Modifier Low / Median / High Price $319.20 / $760.00 / $760.00	Facility		$319.20	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $319.20 / $319.20 / $1,208.40	Professional		$319.20	$319.20	$1,208.40