Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,548.82 / $2,630.27	Facility		$524.81	$1,548.82	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $436.52	Professional		$245.47	$309.03	$436.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $954.99 / $1,905.46	Facility		$489.78	$954.99	$1,905.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,479.11 / $2,344.23	Professional		$549.54	$1,479.11	$2,344.23
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $891.25 / $3,630.78	Facility		$69.18	$891.25	$3,630.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $758.58	Professional		$223.87	$295.12	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $1,258.93	Facility		$257.04	$630.96	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $457.09 / $512.86	Professional		$380.19	$457.09	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $660.69	Professional		$338.84	$416.87	$660.69
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,818.38 / $2,818.38	Professional		$1,905.46	$2,818.38	$2,818.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $457.09 / $977.24	Facility		$302.00	$457.09	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $549.54	Professional		$380.19	$416.87	$549.54
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $380.19 / $380.19	Facility		$158.49	$380.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $724.44	Professional		$158.49	$158.49	$724.44