Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $1,737.57 / $3,906.60	Facility		$510.00	$1,737.57	$3,906.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $498.00 / $2,630.00	Professional		$300.00	$498.00	$2,630.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,077.72 / $2,958.00	Facility		$312.00	$1,077.72	$2,958.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $676.06 / $1,600.87	Professional		$240.00	$676.06	$1,600.87
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $792.00 / $5,382.00	Facility		$59.40	$792.00	$5,382.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.00 / $390.00 / $980.42	Professional		$273.00	$390.00	$980.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.97 / $1,029.59 / $2,008.50	Facility		$413.97	$1,029.59	$2,008.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.58 / $516.16 / $2,442.87	Professional		$319.58	$516.16	$2,442.87
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $660.00 / $810.00	Professional		$600.00	$660.00	$810.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $690.00 / $1,320.00	Professional		$540.00	$690.00	$1,320.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.00 / $2,850.00 / $2,850.00	Facility		$1,044.00	$2,850.00	$2,850.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $4,500.00	Professional		$3,000.00	$3,000.00	$4,500.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $720.00 / $1,721.07	Facility		$480.00	$720.00	$1,721.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.76 / $690.00 / $1,624.51	Professional		$322.76	$690.00	$1,624.51
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,106.00 / $2,106.00 / $2,106.00	Professional		$2,106.00	$2,106.00	$2,106.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.00 / $270.00 / $1,857.78	Professional		$252.00	$270.00	$1,857.78