Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $272.00 / $2,057.60	Facility		$240.00	$272.00	$2,057.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $272.00 / $2,057.60	Professional		$240.00	$272.00	$2,057.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $278.88 / $618.14 / $1,577.60	Facility		$278.88	$618.14	$1,577.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.00 / $1,419.35 / $3,458.80	Professional		$128.00	$1,419.35	$3,458.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $231.36 / $902.40	Facility		$92.60	$231.36	$902.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $145.60 / $208.00 / $522.89	Professional		$145.60	$208.00	$522.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.77 / $549.12 / $1,071.20	Facility		$220.77	$549.12	$1,071.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.38 / $275.29 / $866.34	Professional		$170.38	$275.29	$866.34
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $352.00 / $432.00	Professional		$320.00	$352.00	$432.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $368.00 / $697.60	Professional		$288.00	$368.00	$697.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $556.79 / $1,520.00 / $1,520.00	Facility		$556.79	$1,520.00	$1,520.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,600.00 / $1,600.00 / $2,400.00	Professional		$1,600.00	$1,600.00	$2,400.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $224.00 / $224.00	Professional		$224.00	$224.00	$224.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $256.00 / $384.00 / $917.90	Facility		$256.00	$384.00	$917.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $212.02 / $368.00 / $640.00	Professional		$212.02	$368.00	$640.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,123.20 / $1,123.20 / $1,123.20	Professional		$1,123.20	$1,123.20	$1,123.20
United Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $144.55 / $859.42	Professional		$134.40	$144.55	$859.42