Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,982.44	Facility		$2,511.89	$6,456.54	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $630.96 / $3,548.13	Professional		$501.19	$630.96	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $13,489.63	Facility		$3,630.78	$6,165.95	$13,489.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,949.84	Professional		$512.86	$707.95	$1,949.84
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,511.89 / $6,165.95	Facility		$66.07	$2,511.89	$6,165.95
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,548.82	Professional		$501.19	$660.69	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,548.82	Professional		$512.86	$707.95	$1,548.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $954.99	Professional		$707.95	$776.25	$954.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,412.54	Professional		$575.44	$758.58	$1,412.54
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $6,760.83	Facility		$54.95	$56.23	$6,760.83
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,623.41 / $5,623.41	Professional		$4,677.35	$5,623.41	$5,623.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $724.44 / $1,023.29	Facility		$549.54	$724.44	$1,023.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,548.82	Professional		$512.86	$707.95	$1,548.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $9,772.37	Facility		$2,344.23	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,348.96	Professional		$467.74	$630.96	$1,348.96