Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $660.69 / $3,467.37	Facility		$323.59	$660.69	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $3,467.37	Professional		$323.59	$436.52	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,230.27 / $2,630.27	Facility		$245.47	$1,230.27	$2,630.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $891.25	Professional		$331.13	$398.11	$891.25
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,202.26 / $1,479.11	Facility		$380.19	$1,202.26	$1,479.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $288.40 / $758.58	Professional		$218.78	$288.40	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $933.25 / $1,862.09	Facility		$346.74	$933.25	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $1,513.56	Professional		$281.84	$354.81	$1,513.56
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $707.95	Professional		$524.81	$575.44	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $933.25	Professional		$478.63	$575.44	$933.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $3,981.07	Professional		$2,630.27	$3,981.07	$3,981.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $630.96 / $1,548.82	Facility		$346.74	$630.96	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $562.34 / $1,479.11	Professional		$281.84	$562.34	$1,479.11
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $524.81 / $524.81	Facility		$223.87	$524.81	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $1,023.29	Professional		$223.87	$223.87	$1,023.29