Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.06 / $1,828.00	Facility		$0.02	$0.06	$1,828.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,376.40 / $5,877.02 / $5,877.02	Professional		$2,376.40	$5,877.02	$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 / $2,893.82 / $6,917.61	Professional		$846.27	$2,893.82	$6,917.61
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 / $1,493.51	Professional		$415.87	$594.10	$1,493.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.28 / $1,532.78 / $3,059.62	Facility		$621.28	$1,532.78	$3,059.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.63 / $786.18 / $1,765.28	Professional		$486.63	$786.18	$1,765.28
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $1,005.40 / $1,233.90	Professional		$914.00	$1,005.40	$1,233.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $822.60 / $1,051.09 / $1,782.30	Professional		$822.60	$1,051.09	$1,782.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,590.36 / $4,341.50 / $4,341.50	Facility		$1,590.36	$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 $639.79 / $639.79 / $639.79	Professional		$639.79	$639.79	$639.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.20 / $1,142.50 / $2,626.52	Facility		$731.20	$1,142.50	$2,626.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $607.25 / $1,005.40 / $1,765.28	Professional		$607.25	$1,005.40	$1,765.28
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 / $387.54 / $1,815.94	Professional		$383.88	$387.54	$1,815.94