Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,090.30 / $5,248.07	Facility		$1,047.13	$3,090.30	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $616.60 / $870.96	Professional		$489.78	$616.60	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,905.46 / $3,801.89	Facility		$977.24	$1,905.46	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $870.96 / $1,778.28	Professional		$338.84	$870.96	$1,778.28
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,778.28 / $7,244.36	Facility		$69.18	$1,778.28	$7,244.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $588.84 / $1,513.56	Professional		$446.68	$588.84	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,258.93 / $2,511.89	Facility		$512.86	$1,258.93	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $912.01 / $1,023.29	Professional		$758.58	$912.01	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,318.26	Professional		$676.08	$831.76	$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
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $5,754.40	Professional		$3,801.89	$5,754.40	$5,754.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $912.01 / $1,995.26	Facility		$602.56	$912.01	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $831.76 / $1,096.48	Professional		$758.58	$831.76	$1,096.48
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 / $758.58 / $758.58	Facility		$316.23	$758.58	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,445.44	Professional		$316.23	$316.23	$1,445.44