Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.63 / $4,369.64 / $4,369.64	Facility		$577.63	$4,369.64	$4,369.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $564.04 / $4,369.64	Professional		$407.74	$564.04	$4,369.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $318.01 / $1,174.23 / $3,350.28	Facility		$318.01	$1,174.23	$3,350.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.83 / $2,756.02 / $5,789.50	Professional		$271.83	$2,756.02	$5,789.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $491.33 / $1,916.39	Facility		$92.60	$491.33	$1,916.39
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $441.72 / $1,104.52	Professional		$309.20	$441.72	$1,104.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $461.94 / $956.77 / $2,224.06	Facility		$461.94	$956.77	$2,224.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.48 / $799.02 / $1,313.01	Professional		$377.48	$799.02	$1,313.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $747.53 / $1,087.31	Professional		$679.57	$747.53	$1,087.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.66 / $747.53 / $1,297.98	Professional		$543.66	$747.53	$1,297.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,087.31 / $3,227.96 / $3,227.96	Facility		$1,087.31	$3,227.96	$3,227.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,397.85 / $3,397.85 / $5,096.78	Professional		$3,397.85	$3,397.85	$5,096.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $339.78 / $339.78 / $475.69	Professional		$339.78	$339.78	$475.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.74 / $733.25 / $1,622.88	Facility		$407.74	$733.25	$1,622.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $727.14 / $1,313.01	Professional		$407.74	$727.14	$1,313.01
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,385.29 / $2,385.29 / $2,385.29	Professional		$2,385.29	$2,385.29	$2,385.29
United Facility/Professional Professional Modifier Low / Median / High Price $285.42 / $296.95 / $1,305.45	Professional		$285.42	$296.95	$1,305.45