Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,890.45 / $6,456.54	Facility		$1,318.26	$3,890.45	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $954.99	Professional		$630.96	$776.25	$954.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,344.23 / $4,786.30	Facility		$1,230.27	$2,344.23	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $389.05 / $831.76	Professional		$338.84	$389.05	$831.76
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $2,238.72 / $9,120.11	Facility		$69.18	$2,238.72	$9,120.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $2,187.76	Professional		$549.54	$741.31	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,548.82 / $3,162.28	Facility		$630.96	$1,548.82	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,148.15 / $1,445.44	Professional		$676.08	$1,148.15	$1,445.44
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $954.99 / $1,513.56	Professional		$100.00	$954.99	$1,513.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $954.99 / $1,659.59	Professional		$758.58	$954.99	$1,659.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,096.48 / $2,398.83	Facility		$630.96	$1,096.48	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $954.99	Professional		$676.08	$954.99	$954.99
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $524.81 / $954.99	Facility		$398.11	$524.81	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $1,698.24	Professional		$398.11	$436.52	$1,698.24