Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.00 / $8,275.41 / $8,275.41	Facility		$1,580.00	$8,275.41	$8,275.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $855.86 / $1,580.00 / $8,275.41	Professional		$855.86	$1,580.00	$8,275.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $542.19 / $2,223.81 / $6,344.91	Facility		$542.19	$2,223.81	$6,344.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $2,756.02 / $5,789.50	Professional		$514.79	$2,756.02	$5,789.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $930.50 / $3,629.34	Facility		$92.60	$930.50	$3,629.34
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $585.59 / $836.55 / $2,091.79	Professional		$585.59	$836.55	$2,091.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $874.82 / $1,811.97 / $4,212.03	Facility		$874.82	$1,811.97	$4,212.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $852.63 / $2,485.82	Professional		$514.79	$852.63	$2,485.82
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,287.00 / $1,415.70 / $2,059.19	Professional		$1,287.00	$1,415.70	$2,059.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.59 / $1,415.70 / $2,318.00	Professional		$1,029.59	$1,415.70	$2,318.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,059.19 / $6,113.25 / $6,113.25	Facility		$2,059.19	$6,113.25	$6,113.25
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,435.00 / $6,435.00 / $9,652.50	Professional		$6,435.00	$6,435.00	$9,652.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $643.50 / $643.50 / $900.90	Professional		$643.50	$643.50	$900.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.20 / $1,544.40 / $3,073.52	Facility		$772.20	$1,544.40	$3,073.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $757.37 / $1,377.04 / $2,485.82	Professional		$757.37	$1,377.04	$2,485.82
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $4,517.37 / $4,517.37 / $4,517.37	Professional		$4,517.37	$4,517.37	$4,517.37
United Facility/Professional Professional Modifier Low / Median / High Price $540.54 / $553.41 / $2,351.35	Professional		$540.54	$553.41	$2,351.35