Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,398.83 / $3,981.07	Facility		$812.83	$2,398.83	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $478.63 / $676.08	Professional		$380.19	$478.63	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,445.44 / $2,951.21	Facility		$758.58	$1,445.44	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $707.95	Professional		$288.40	$389.05	$707.95
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,348.96 / $5,623.41	Facility		$69.18	$1,348.96	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $1,148.15	Professional		$338.84	$446.68	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $977.24 / $2,089.30	Facility		$398.11	$977.24	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $794.33	Professional		$588.84	$707.95	$794.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $645.65 / $1,023.29	Professional		$524.81	$645.65	$1,023.29
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $4,365.16	Professional		$2,951.21	$4,365.16	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $707.95 / $1,513.56	Facility		$457.09	$707.95	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $851.14	Professional		$588.84	$645.65	$851.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $588.84 / $588.84	Facility		$245.47	$588.84	$588.84
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $1,122.02	Professional		$245.47	$245.47	$1,122.02