Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.80 / $1,355.30 / $3,047.15	Facility		$397.80	$1,355.30	$3,047.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.14 / $397.80 / $3,009.24	Professional		$307.14	$397.80	$3,009.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $876.00 / $2,307.23	Facility		$312.00	$876.00	$2,307.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $438.53 / $1,216.80	Professional		$187.20	$438.53	$1,216.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $706.68 / $1,287.00	Facility		$97.00	$706.68	$1,287.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $212.94 / $304.20 / $764.73	Professional		$212.94	$304.20	$764.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $318.11 / $803.09 / $1,566.63	Facility		$318.11	$803.09	$1,566.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.84 / $389.42 / $1,421.45	Professional		$247.84	$389.42	$1,421.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $468.00 / $631.79	Professional		$374.40	$468.00	$631.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $421.20 / $538.20 / $1,029.59	Professional		$421.20	$538.20	$1,029.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $814.32 / $2,223.00 / $2,223.00	Facility		$814.32	$2,223.00	$2,223.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,340.00 / $2,340.00 / $3,510.00	Professional		$2,340.00	$2,340.00	$3,510.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.40 / $561.60 / $1,342.43	Facility		$374.40	$561.60	$1,342.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $251.51 / $531.34 / $1,265.89	Professional		$251.51	$531.34	$1,265.89
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,642.68 / $1,642.68 / $1,642.68	Professional		$1,642.68	$1,642.68	$1,642.68
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $421.20 / $636.48	Professional		$374.40	$421.20	$636.48
United Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $204.50 / $980.69	Professional		$196.56	$204.50	$980.69