Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,265.80 / $8,317.64	Facility		$1,659.59	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $6,918.31	Professional		$691.83	$891.25	$6,918.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,454.71 / $5,248.07	Facility		$489.78	$2,454.71	$5,248.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $446.68 / $1,698.24	Professional		$416.87	$446.68	$1,698.24
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,398.83 / $2,951.21	Facility		$758.58	$2,398.83	$2,951.21
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $2,041.74	Professional		$616.60	$794.33	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,862.09 / $3,715.35	Facility		$741.31	$1,862.09	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,122.02 / $2,137.96	Professional		$562.34	$1,122.02	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,412.54	Professional		$1,047.13	$1,148.15	$1,412.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,819.70	Professional		$831.76	$1,096.48	$1,819.70
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $7,943.28 / $7,943.28	Professional		$5,248.07	$7,943.28	$7,943.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $1,047.13	Professional		$524.81	$524.81	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $2,691.53	Facility		$660.69	$1,174.90	$2,691.53
Providence Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,047.13 / $2,089.30	Professional		$562.34	$1,047.13	$2,089.30
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $575.44 / $1,047.13	Facility		$467.74	$575.44	$1,047.13
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $1,778.28	Professional		$436.52	$436.52	$1,778.28