Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.68 / $1,528.26 / $4,201.09	Facility		$438.68	$1,528.26	$4,201.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.77 / $485.47 / $497.17	Professional		$318.77	$485.47	$497.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.78 / $1,129.84 / $2,912.22	Facility		$544.78	$1,129.84	$2,912.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.83 / $343.71 / $554.57	Professional		$288.83	$343.71	$554.57
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $422.88 / $5,246.55	Facility		$59.30	$422.88	$5,246.55
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $266.13 / $380.19 / $955.76	Professional		$266.13	$380.19	$955.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.59 / $980.89 / $1,957.98	Facility		$397.59	$980.89	$1,957.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $701.88 / $935.84	Professional		$584.90	$701.88	$935.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.41 / $672.64 / $1,275.08	Professional		$526.41	$672.64	$1,275.08
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,017.73 / $2,778.28 / $2,778.28	Facility		$1,017.73	$2,778.28	$2,778.28
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,924.50 / $2,924.50 / $4,386.75	Professional		$2,924.50	$2,924.50	$4,386.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.92 / $701.88 / $1,551.94	Facility		$467.92	$701.88	$1,551.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $643.39 / $877.35	Professional		$584.90	$643.39	$877.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Professional		$584.90	$584.90	$584.90
United Facility/Professional Professional Modifier Low / Median / High Price $245.66 / $245.66 / $1,173.89	Professional		$245.66	$245.66	$1,173.89