Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $1,983.27 / $5,451.86	Facility		$569.29	$1,983.27	$5,451.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $607.24 / $645.19	Professional		$493.38	$607.24	$645.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,466.26 / $3,779.31	Facility		$614.00	$1,466.26	$3,779.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.20 / $865.59 / $1,741.65	Professional		$106.20	$865.59	$1,741.65
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,001.95 / $6,808.68	Facility		$59.40	$1,001.95	$6,808.68
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $345.37 / $493.38 / $1,240.31	Professional		$345.37	$493.38	$1,240.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.95 / $1,272.92 / $2,540.91	Facility		$515.95	$1,272.92	$2,540.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.15 / $516.15 / $516.15	Professional		$516.15	$516.15	$516.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $910.86 / $1,214.48	Professional		$759.05	$910.86	$1,214.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.15 / $872.91 / $1,654.73	Professional		$683.15	$872.91	$1,654.73
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,320.75 / $3,605.49 / $3,605.49	Facility		$1,320.75	$3,605.49	$3,605.49
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,795.25 / $3,795.25 / $5,692.88	Professional		$3,795.25	$3,795.25	$5,692.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.69 / $1,090.36 / $2,299.15	Facility		$523.69	$1,090.36	$2,299.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $834.96 / $1,138.58	Professional		$759.05	$834.96	$1,138.58
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Professional		$759.05	$759.05	$759.05
United Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $910.86 / $910.86	Facility		$910.86	$910.86	$910.86
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $318.80 / $1,508.08	Professional		$318.80	$318.80	$1,508.08