Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,949.84 / $3,890.45	Facility		$912.01	$1,949.84	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $1,737.80	Professional		$371.54	$489.78	$1,737.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $204.17 / $2,041.74	Facility		$186.21	$204.17	$2,041.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,445.44	Professional		$512.86	$891.25	$1,445.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,479.11 / $6,760.83	Facility		$69.18	$1,479.11	$6,760.83
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,348.96	Professional		$512.86	$741.31	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,148.15 / $4,168.69	Facility		$549.54	$1,148.15	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $660.69 / $1,258.93	Professional		$346.74	$660.69	$1,258.93
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $549.54 / $676.08	Professional		$501.19	$549.54	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $912.01	Professional		$371.54	$478.63	$912.01
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $162.18 / $389.05	Professional		$32.36	$162.18	$389.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $602.56 / $1,122.02	Facility		$407.38	$602.56	$1,122.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $1,174.90	Professional		$354.81	$707.95	$1,174.90
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $891.25 / $1,380.38	Facility		$870.96	$891.25	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $1,122.02	Professional		$380.19	$512.86	$1,122.02