Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.63 / $963.78 / $3,204.08	Facility		$349.63	$963.78	$3,204.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.06 / $386.92 / $396.24	Professional		$254.06	$386.92	$396.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $477.96 / $900.50 / $2,321.06	Facility		$477.96	$900.50	$2,321.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $883.58 / $1,671.18	Professional		$279.68	$883.58	$1,671.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $615.34 / $4,181.55	Facility		$59.40	$615.34	$4,181.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $212.11 / $303.01 / $761.74	Professional		$212.11	$303.01	$761.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.87 / $781.77 / $1,560.50	Facility		$316.87	$781.77	$1,560.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $1,637.82 / $1,807.50	Professional		$317.00	$1,637.82	$1,807.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $466.17 / $629.33	Professional		$372.94	$466.17	$629.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $419.55 / $536.10 / $1,016.25	Professional		$419.55	$536.10	$1,016.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $811.14 / $2,214.31 / $2,214.31	Facility		$811.14	$2,214.31	$2,214.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,330.85 / $2,330.85 / $3,496.28	Professional		$2,330.85	$2,330.85	$3,496.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.94 / $559.40 / $1,337.18	Facility		$372.94	$559.40	$1,337.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $512.79 / $1,619.23	Professional		$466.17	$512.79	$1,619.23
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $466.17	Professional		$466.17	$466.17	$466.17
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $372.94 / $419.55 / $634.00	Professional		$372.94	$419.55	$634.00
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $210.57 / $1,277.54	Professional		$195.79	$210.57	$1,277.54