Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $575.44 / $575.44	Facility		$512.86	$575.44	$575.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $724.44	Professional		$426.58	$549.54	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,698.24 / $3,467.37	Facility		$891.25	$1,698.24	$3,467.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $707.95	Professional		$77.62	$104.71	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,584.89 / $6,606.93	Facility		$69.18	$1,584.89	$6,606.93
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 / $1,148.15 / $2,290.87	Facility		$457.09	$1,148.15	$2,290.87
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 $616.60 / $758.58 / $1,202.26	Professional		$616.60	$758.58	$1,202.26
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 / $758.58 / $977.24	Professional		$676.08	$758.58	$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 $288.40 / $676.08 / $676.08	Facility		$288.40	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $1,318.26	Professional		$288.40	$288.40	$1,318.26