Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.85 / $1,603.24 / $4,356.33	Facility		$347.85	$1,603.24	$4,356.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.72 / $394.23 / $5,154.42	Professional		$244.72	$394.23	$5,154.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.83 / $1,439.87 / $3,951.99	Facility		$371.83	$1,439.87	$3,951.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $259.61 / $320.64 / $773.94	Professional		$259.61	$320.64	$773.94
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $639.60 / $4,181.34	Facility		$59.90	$639.60	$4,181.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $204.30 / $291.86 / $568.94	Professional		$204.30	$291.86	$568.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.27 / $1,037.34 / $2,584.41	Facility		$369.27	$1,037.34	$2,584.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.99 / $857.66 / $1,221.45	Professional		$181.99	$857.66	$1,221.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $371.04 / $801.62 / $881.78	Professional		$371.04	$801.62	$881.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $601.22 / $801.62 / $1,402.84	Professional		$601.22	$801.62	$1,402.84
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,282.58 / $3,807.70 / $3,807.70	Facility		$1,282.58	$3,807.70	$3,807.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $400.81 / $400.81 / $400.81	Professional		$400.81	$400.81	$400.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $400.81 / $660.00 / $1,629.21	Facility		$400.81	$660.00	$1,629.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.79 / $480.97 / $961.94	Professional		$202.79	$480.97	$961.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,813.68 / $2,813.68 / $2,813.68	Professional		$2,813.68	$2,813.68	$2,813.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $378.46 / $630.77 / $721.46	Professional		$378.46	$630.77	$721.46
United Facility/Professional Professional Modifier Low / Median / High Price $193.41 / $336.68 / $1,226.48	Professional		$193.41	$336.68	$1,226.48