Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.51 / $904.73 / $5,490.50	Facility		$758.51	$904.73	$5,490.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.70 / $869.61 / $3,959.30	Professional		$694.70	$869.61	$3,959.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.00 / $5,863.00 / $11,400.00	Facility		$2,137.00	$5,863.00	$11,400.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $942.32 / $1,267.09 / $2,374.67	Professional		$942.32	$1,267.09	$2,374.67
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $65.80 / $100.00 / $10,033.91	Facility		$65.80	$100.00	$10,033.91
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $753.70 / $1,076.71 / $2,286.59	Professional		$753.70	$1,076.71	$2,286.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.01 / $762.36 / $2,277.00	Facility		$761.01	$762.36	$2,277.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $835.14 / $1,126.74 / $2,106.19	Professional		$835.14	$1,126.74	$2,106.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $805.43 / $1,040.90 / $1,301.13	Professional		$805.43	$1,040.90	$1,301.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $720.64 / $1,002.48 / $1,803.94	Professional		$720.64	$1,002.48	$1,803.94
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,269.82 / $3,545.12	Facility		$55.00	$3,269.82	$3,545.12
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,271.28 / $6,495.04 / $7,393.28	Professional		$5,271.28	$6,495.04	$7,393.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $847.38 / $1,118.50 / $1,561.12	Facility		$847.38	$1,118.50	$1,561.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $845.15 / $1,176.59 / $2,166.98	Professional		$845.15	$1,176.59	$2,166.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,456.65 / $2,456.65 / $2,979.59	Professional		$2,456.65	$2,456.65	$2,979.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,090.00 / $4,213.00 / $9,131.00	Facility		$2,090.00	$4,213.00	$9,131.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.92 / $977.84 / $2,065.40	Professional		$724.92	$977.84	$2,065.40