Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $5,370.32	Facility		$758.58	$912.01	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $3,311.31	Professional		$691.83	$912.01	$3,311.31
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 $977.24 / $1,412.54 / $2,511.89	Professional		$977.24	$1,412.54	$2,511.89
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $2,818.38 / $11,220.18	Facility		$66.07	$2,818.38	$11,220.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,454.71	Professional		$912.01	$1,348.96	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $2,089.30	Professional		$831.76	$1,122.02	$2,089.30
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,380.38	Professional		$691.83	$933.25	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $1,698.24	Professional		$630.96	$954.99	$1,698.24
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $4,365.16	Facility		$54.95	$56.23	$4,365.16
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $7,413.10 / $7,413.10	Professional		$6,456.54	$7,413.10	$7,413.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,230.27	Professional		$741.31	$741.31	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,737.80	Facility		$758.58	$1,148.15	$1,737.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $2,089.30	Professional		$831.76	$1,148.15	$2,089.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,951.21	Professional		$2,454.71	$2,454.71	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,265.80 / $9,772.37	Facility		$2,344.23	$4,265.80	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,698.24	Professional		$630.96	$912.01	$1,698.24