Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $600.41 / $1,317.98 / $3,397.12	Facility		$600.41	$1,317.98	$3,397.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $91.98 / $184.74	Professional		$77.30	$91.98	$184.74
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $493.30 / $6,120.14	Facility		$59.30	$493.30	$6,120.14
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $310.44 / $443.49 / $1,114.89	Professional		$310.44	$443.49	$1,114.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.77 / $1,144.20 / $2,283.96	Facility		$463.77	$1,144.20	$2,283.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $818.75 / $1,091.66	Professional		$682.29	$818.75	$1,091.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.05 / $784.63 / $1,487.39	Professional		$614.05	$784.63	$1,487.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,187.18 / $3,240.88 / $3,240.88	Facility		$1,187.18	$3,240.88	$3,240.88
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,411.45 / $3,411.45 / $5,117.18	Professional		$3,411.45	$3,411.45	$5,117.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.83 / $818.75 / $1,810.33	Facility		$545.83	$818.75	$1,810.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $750.52 / $1,023.44	Professional		$682.29	$750.52	$1,023.44
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $682.29 / $682.29 / $682.29	Professional		$682.29	$682.29	$682.29
United Facility/Professional Professional Modifier Low / Median / High Price $286.56 / $298.14 / $1,642.89	Professional		$286.56	$298.14	$1,642.89