Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $712.50 / $1,932.54 / $6,276.46	Facility		$712.50	$1,932.54	$6,276.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $517.75 / $712.50 / $807.50	Professional		$517.75	$712.50	$807.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $614.00 / $1,835.12 / $4,730.05	Facility		$614.00	$1,835.12	$4,730.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.26 / $356.43 / $655.50	Professional		$336.26	$356.43	$655.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $1,121.00 / $8,654.50	Facility		$59.40	$1,121.00	$8,654.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $432.25 / $617.50 / $1,129.72	Professional		$432.25	$617.50	$1,129.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.75 / $1,247.34 / $3,062.80	Facility		$645.75	$1,247.34	$3,062.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,091.56 / $1,157.64 / $1,447.05	Professional		$1,091.56	$1,157.64	$1,447.05
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $950.00 / $1,520.00	Professional		$99.00	$950.00	$1,520.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $950.00 / $1,662.50	Professional		$760.00	$950.00	$1,662.50
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,520.00 / $4,512.50 / $4,512.50	Facility		$1,520.00	$4,512.50	$4,512.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $20.00	Professional		$20.00	$20.00	$20.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.63 / $950.00 / $2,119.94	Facility		$624.63	$950.00	$2,119.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $731.50 / $902.50 / $950.00	Professional		$731.50	$902.50	$950.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $950.00 / $950.00	Professional		$950.00	$950.00	$950.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.00 / $399.00 / $1,453.50	Professional		$399.00	$399.00	$1,453.50