Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,818.38 / $4,677.35	Facility		$831.76	$2,818.38	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $776.25	Professional		$436.52	$549.54	$776.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,698.24 / $3,388.44	Facility		$870.96	$1,698.24	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $741.31	Professional		$181.97	$251.19	$741.31
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,584.89 / $6,456.54	Facility		$69.18	$1,584.89	$6,456.54
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $524.81 / $1,348.96	Professional		$398.11	$524.81	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,122.02 / $2,238.72	Facility		$457.09	$1,122.02	$2,238.72
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $912.01	Professional		$676.08	$812.83	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,174.90	Professional		$602.56	$741.31	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $5,128.61	Professional		$3,388.44	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $812.83 / $1,778.28	Facility		$537.03	$812.83	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $977.24	Professional		$676.08	$741.31	$977.24
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $676.08 / $676.08	Facility		$281.84	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $1,288.25	Professional		$281.84	$281.84	$1,288.25