Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,398.83 / $4,677.35	Facility		$912.01	$2,398.83	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $489.78 / $3,311.31	Professional		$389.05	$489.78	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,348.96 / $2,884.03	Facility		$269.15	$1,348.96	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $660.69 / $1,230.27	Professional		$234.42	$660.69	$1,230.27
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,348.96 / $5,623.41	Facility		$69.18	$1,348.96	$5,623.41
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $1,174.90	Professional		$338.84	$489.78	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,023.29 / $2,041.74	Facility		$407.38	$1,023.29	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $891.25	Professional		$295.12	$616.60	$891.25
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $575.44 / $933.25	Professional		$100.00	$575.44	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $1,288.25	Professional		$467.74	$575.44	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $575.44	Professional		$288.40	$288.40	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $630.96 / $1,513.56	Facility		$257.04	$630.96	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $1,148.15	Professional		$302.00	$512.86	$1,148.15
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $575.44	Facility		$263.03	$316.23	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $1,023.29	Professional		$245.47	$245.47	$1,023.29