Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.60 / $1,691.92 / $3,803.96	Facility		$496.60	$1,691.92	$3,803.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.75 / $496.60 / $3,756.60	Professional		$379.75	$496.60	$3,756.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,049.39 / $2,880.25	Facility		$312.00	$1,049.39	$2,880.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.69 / $547.44 / $1,340.52	Professional		$233.69	$547.44	$1,340.52
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $882.19 / $1,606.63	Facility		$97.00	$882.19	$1,606.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $265.83 / $379.75 / $954.65	Professional		$265.83	$379.75	$954.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.12 / $979.76 / $1,955.71	Facility		$397.12	$979.76	$1,955.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.27 / $486.03 / $1,773.80	Professional		$309.27	$486.03	$1,773.80
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $467.38 / $584.23 / $788.71	Professional		$467.38	$584.23	$788.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $525.80 / $671.86 / $1,273.61	Professional		$525.80	$671.86	$1,273.61
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,016.56 / $2,775.09 / $2,775.09	Facility		$1,016.56	$2,775.09	$2,775.09
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,921.15 / $2,921.15 / $4,381.72	Professional		$2,921.15	$2,921.15	$4,381.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.38 / $701.08 / $1,675.84	Facility		$467.38	$701.08	$1,675.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $313.86 / $663.16 / $1,579.68	Professional		$313.86	$663.16	$1,579.68
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,050.64 / $2,050.64 / $2,050.64	Professional		$2,050.64	$2,050.64	$2,050.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $467.38 / $525.80 / $794.55	Professional		$467.38	$525.80	$794.55
United Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $262.89 / $1,295.47	Professional		$245.38	$262.89	$1,295.47