Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $442.00 / $3,343.60	Facility		$390.00	$442.00	$3,343.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $442.00 / $3,343.60	Professional		$390.00	$442.00	$3,343.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $830.60 / $2,167.71	Facility		$208.00	$830.60	$2,167.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $212.00 / $806.00	Professional		$200.00	$212.00	$806.00
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $375.96 / $1,466.40	Facility		$92.60	$375.96	$1,466.40
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $520.00 / $1,307.23	Professional		$364.00	$520.00	$1,307.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $348.22 / $601.64 / $1,314.82	Facility		$348.22	$601.64	$1,314.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.85 / $447.34 / $1,407.19	Professional		$276.85	$447.34	$1,407.19
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $520.00 / $572.00 / $702.00	Professional		$520.00	$572.00	$702.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $598.00 / $1,133.59	Professional		$468.00	$598.00	$1,133.59
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $904.80 / $2,470.00 / $2,470.00	Facility		$904.80	$2,470.00	$2,470.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,600.00 / $2,600.00 / $3,900.00	Professional		$2,600.00	$2,600.00	$3,900.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.00 / $624.00 / $1,242.07	Facility		$416.00	$624.00	$1,242.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $344.39 / $598.00 / $1,040.00	Professional		$344.39	$598.00	$1,040.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,825.20 / $1,825.20 / $1,825.20	Professional		$1,825.20	$1,825.20	$1,825.20
United Facility/Professional Professional Modifier Low / Median / High Price $218.40 / $218.40 / $1,029.59	Professional		$218.40	$218.40	$1,029.59