Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $810.62 / $2,772.14 / $4,886.72	Facility		$810.62	$2,772.14	$4,886.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $574.91 / $574.91	Professional		$574.91	$574.91	$574.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.21 / $1,306.54 / $3,367.65	Facility		$595.21	$1,306.54	$3,367.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $232.66 / $595.20	Professional		$180.36	$232.66	$595.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $892.81 / $6,067.04	Facility		$59.40	$892.81	$6,067.04
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $307.75 / $439.64 / $1,105.21	Professional		$307.75	$439.64	$1,105.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.75 / $1,134.27 / $2,264.15	Facility		$459.75	$1,134.27	$2,264.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $811.64 / $1,082.19	Professional		$676.37	$811.64	$1,082.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.73 / $777.83 / $1,474.49	Professional		$608.73	$777.83	$1,474.49
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,176.88 / $3,212.76 / $3,212.76	Facility		$1,176.88	$3,212.76	$3,212.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,381.85 / $3,381.85 / $5,072.78	Professional		$3,381.85	$3,381.85	$5,072.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.10 / $811.64 / $1,794.61	Facility		$541.10	$811.64	$1,794.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $744.01 / $1,014.56	Professional		$676.37	$744.01	$1,014.56
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $676.37 / $676.37	Professional		$676.37	$676.37	$676.37
United Facility/Professional Professional Modifier Low / Median / High Price $284.08 / $284.08 / $1,339.21	Professional		$284.08	$284.08	$1,339.21