Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $1,905.46	Facility		$457.09	$1,096.48	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $549.54 / $4,466.84	Professional		$199.53	$549.54	$4,466.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,584.89 / $3,388.44	Facility		$165.96	$1,584.89	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $575.44	Professional		$141.25	$173.78	$575.44
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $660.69 / $2,754.23	Facility		$69.18	$660.69	$2,754.23
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $218.78 / $575.44	Professional		$165.96	$218.78	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,148.15 / $2,398.83	Facility		$223.87	$1,148.15	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $724.44 / $3,311.31	Professional		$371.54	$724.44	$3,311.31
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $741.31 / $912.01	Professional		$676.08	$741.31	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $741.31 / $1,174.90	Professional		$602.56	$741.31	$1,174.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,128.61 / $5,128.61	Professional		$3,388.44	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $812.83 / $1,778.28	Facility		$338.84	$812.83	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $741.31 / $1,949.84	Professional		$363.08	$741.31	$1,949.84
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $676.08 / $676.08	Facility		$281.84	$676.08	$676.08
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $758.58	Professional		$117.49	$128.82	$758.58