Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.66 / $562.66 / $2,797.50	Facility		$562.66	$562.66	$2,797.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.06 / $562.66 / $2,797.50	Professional		$348.06	$562.66	$2,797.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $840.42 / $2,144.90	Facility		$312.00	$840.42	$2,144.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $130.03 / $565.59	Professional		$101.92	$130.03	$565.59
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $314.56 / $1,226.90	Facility		$92.60	$314.56	$1,226.90
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $69.83 / $99.75 / $283.62	Professional		$69.83	$99.75	$283.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.97 / $746.59 / $1,456.42	Facility		$279.97	$746.59	$1,456.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.70 / $374.18 / $1,178.18	Professional		$231.70	$374.18	$1,178.18
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $478.58 / $587.34	Professional		$435.07	$478.58	$587.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $391.56 / $500.33 / $878.00	Professional		$391.56	$500.33	$878.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $757.02 / $2,066.58 / $2,066.58	Facility		$757.02	$2,066.58	$2,066.58
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,175.35 / $2,175.35 / $3,263.03	Professional		$2,175.35	$2,175.35	$3,263.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $348.05 / $565.59 / $1,250.26	Facility		$348.05	$565.59	$1,250.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $500.33 / $870.14	Professional		$288.33	$500.33	$870.14
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,527.09 / $1,527.09 / $1,527.09	Professional		$1,527.09	$1,527.09	$1,527.09
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $348.06 / $443.77 / $739.62	Professional		$348.06	$443.77	$739.62
United Facility/Professional Professional Modifier Low / Median / High Price $182.73 / $190.11 / $960.63	Professional		$182.73	$190.11	$960.63