Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.74 / $2,396.25 / $4,417.70	Facility		$499.74	$2,396.25	$4,417.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.11 / $499.74 / $2,822.32	Professional		$319.11	$499.74	$2,822.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $2,185.87 / $4,913.14	Facility		$312.00	$2,185.87	$4,913.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.76 / $223.26 / $741.79	Professional		$216.76	$223.26	$741.79
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $317.35 / $1,237.78	Facility		$92.60	$317.35	$1,237.78
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $246.56 / $352.23 / $932.63	Professional		$246.56	$352.23	$932.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $322.39 / $847.57 / $1,907.80	Facility		$322.39	$847.57	$1,907.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.30 / $534.84 / $1,872.96	Professional		$285.30	$534.84	$1,872.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,434.35 / $2,086.32	Professional		$1,303.95	$1,434.35	$2,086.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,043.16 / $1,434.35 / $2,281.91	Professional		$1,043.16	$1,434.35	$2,281.91
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,194.68 / $6,193.76 / $6,193.76	Facility		$3,194.68	$6,193.76	$6,193.76
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,493.67 / $6,493.67 / $9,779.62	Professional		$6,493.67	$6,493.67	$9,779.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $651.97 / $651.97 / $912.76	Professional		$651.97	$651.97	$912.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $276.52 / $891.98 / $1,760.33	Facility		$276.52	$891.98	$1,760.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $291.69 / $523.92 / $1,480.18	Professional		$291.69	$523.92	$1,480.18
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,540.64 / $1,540.64 / $1,540.64	Professional		$1,540.64	$1,540.64	$1,540.64
United Facility/Professional Professional Modifier Low / Median / High Price $184.35 / $252.88 / $1,129.36	Professional		$184.35	$252.88	$1,129.36