Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $2,319.71 / $5,877.02	Facility		$719.07	$2,319.71	$5,877.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.78 / $719.07 / $5,877.02	Professional		$703.78	$719.07	$5,877.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $876.00 / $4,579.14	Facility		$260.00	$876.00	$4,579.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $2,756.02 / $5,862.33	Professional		$846.27	$2,756.02	$5,862.33
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $660.82 / $2,577.48	Facility		$92.60	$660.82	$2,577.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $415.87 / $594.10 / $1,485.55	Professional		$415.87	$594.10	$1,485.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.28 / $1,226.82 / $2,946.74	Facility		$621.28	$1,226.82	$2,946.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.07 / $1,075.04 / $1,721.15	Professional		$489.07	$1,075.04	$1,721.15
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,005.40 / $1,462.40	Professional		$914.00	$1,005.40	$1,462.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.20 / $1,005.40 / $1,745.74	Professional		$731.20	$1,005.40	$1,745.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,462.40 / $4,341.50 / $4,341.50	Facility		$1,462.40	$4,341.50	$4,341.50
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.00 / $4,570.00 / $6,855.00	Professional		$4,570.00	$4,570.00	$6,855.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $457.00 / $457.00 / $639.79	Professional		$457.00	$457.00	$639.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $457.00 / $959.70 / $2,038.36	Facility		$457.00	$959.70	$2,038.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.25 / $978.14 / $1,599.50	Professional		$607.25	$978.14	$1,599.50
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,208.14 / $3,208.14 / $3,208.14	Professional		$3,208.14	$3,208.14	$3,208.14
United Facility/Professional Professional Modifier Low / Median / High Price $383.88 / $383.88 / $1,541.47	Professional		$383.88	$383.88	$1,541.47