Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.66 / $2,615.58 / $5,983.88	Facility		$611.66	$2,615.58	$5,983.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $430.29 / $676.91 / $3,726.06	Professional		$430.29	$676.91	$3,726.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $334.79 / $1,040.85 / $2,856.84	Facility		$334.79	$1,040.85	$2,856.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.17 / $456.54 / $1,116.18	Professional		$286.17	$456.54	$1,116.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $1,121.38 / $7,352.62	Facility		$59.90	$1,121.38	$7,352.62
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $359.23 / $513.19 / $949.07	Professional		$359.23	$513.19	$949.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.91 / $749.88 / $1,939.80	Facility		$397.91	$749.88	$1,939.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.58 / $692.04 / $1,129.61	Professional		$378.58	$692.04	$1,129.61
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $579.48 / $927.17	Professional		$99.00	$579.48	$927.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.58 / $579.48 / $1,129.99	Professional		$463.58	$579.48	$1,129.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,215.00 / $2,752.53 / $2,752.53	Facility		$1,215.00	$2,752.53	$2,752.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.74 / $289.74 / $289.74	Professional		$289.74	$289.74	$289.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.61 / $692.35 / $1,656.35	Facility		$434.61	$692.35	$1,656.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $385.13 / $579.48 / $1,158.96	Professional		$385.13	$579.48	$1,158.96
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,033.97 / $2,033.97 / $2,033.97	Professional		$2,033.97	$2,033.97	$2,033.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $463.58 / $579.48 / $811.27	Professional		$463.58	$579.48	$811.27
United Facility/Professional Professional Modifier Low / Median / High Price $243.38 / $344.79 / $1,113.18	Professional		$243.38	$344.79	$1,113.18