Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.01 / $822.00 / $2,164.46	Facility		$226.01	$822.00	$2,164.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $256.14 / $510.00	Professional		$164.24	$256.14	$510.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.84 / $1,159.02 / $2,987.40	Facility		$558.84	$1,159.02	$2,987.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.36 / $232.66 / $431.06	Professional		$180.36	$232.66	$431.06
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $397.78 / $2,703.11	Facility		$59.40	$397.78	$2,703.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $390.00 / $980.42	Professional		$273.00	$390.00	$980.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.07 / $1,002.30 / $2,008.50	Facility		$282.07	$1,002.30	$2,008.50
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $720.00 / $960.00	Professional		$600.00	$720.00	$960.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $690.00 / $1,146.00	Professional		$540.00	$690.00	$1,146.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $2,850.00 / $2,850.00	Facility		$1,044.00	$2,850.00	$2,850.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,988.00 / $2,988.00 / $4,500.00	Professional		$2,988.00	$2,988.00	$4,500.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.19 / $720.00 / $1,591.98	Facility		$323.19	$720.00	$1,591.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $600.00 / $795.00	Professional		$331.49	$600.00	$795.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $137.11 / $720.00	Professional		$126.57	$137.11	$720.00