Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $683.63 / $1,104.51 / $3,208.57	Facility		$683.63	$1,104.51	$3,208.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $1,104.51 / $3,208.57	Professional		$399.20	$1,104.51	$3,208.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $896.30 / $2,460.07	Facility		$312.00	$896.30	$2,460.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.60 / $1,145.28 / $2,306.88	Professional		$199.60	$1,145.28	$2,306.88
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $360.78 / $1,407.18	Facility		$92.60	$360.78	$1,407.18
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $837.85 / $1,196.93 / $2,992.92	Professional		$837.85	$1,196.93	$2,992.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.35 / $862.77 / $1,670.40	Facility		$324.35	$862.77	$1,670.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.70 / $429.36 / $1,350.67	Professional		$265.70	$429.36	$1,350.67
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $673.65 / $1,430.11	Professional		$499.00	$673.65	$1,430.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $449.10 / $573.85 / $1,097.80	Professional		$449.10	$573.85	$1,097.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $868.26 / $3,120.21 / $3,120.21	Facility		$868.26	$3,120.21	$3,120.21
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,495.00 / $2,495.00 / $3,742.50	Professional		$2,495.00	$2,495.00	$3,742.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.20 / $655.19 / $1,579.45	Facility		$399.20	$655.19	$1,579.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $330.56 / $573.85 / $1,024.94	Professional		$330.56	$573.85	$1,024.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,751.49 / $1,751.49 / $1,751.49	Professional		$1,751.49	$1,751.49	$1,751.49
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $399.20 / $508.98 / $848.30	Professional		$399.20	$508.98	$848.30
United Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $225.40 / $1,201.54	Professional		$209.58	$225.40	$1,201.54