Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.60 / $1,858.39 / $4,251.60	Facility		$434.60	$1,858.39	$4,251.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $480.95 / $3,725.93	Professional		$142.53	$480.95	$3,725.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,040.83 / $2,856.74	Facility		$312.00	$1,040.83	$2,856.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.78 / $642.62 / $1,004.55	Professional		$231.78	$642.62	$1,004.55
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $791.54 / $5,261.50	Facility		$59.90	$791.54	$5,261.50
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.66 / $376.65 / $592.70	Professional		$263.66	$376.65	$592.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.32 / $941.63 / $1,939.75	Facility		$423.32	$941.63	$1,939.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $665.76 / $882.79	Professional		$298.64	$665.76	$882.79
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $99.00 / $579.46 / $927.14	Professional		$99.00	$579.46	$927.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.57 / $579.46 / $1,129.95	Professional		$463.57	$579.46	$1,129.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $927.14 / $2,752.44 / $2,752.44	Facility		$927.14	$2,752.44	$2,752.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.73 / $289.73 / $289.73	Professional		$289.73	$289.73	$289.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $579.46 / $1,383.43	Facility		$259.73	$579.46	$1,383.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $307.11 / $521.51 / $695.35	Professional		$307.11	$521.51	$695.35
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,033.90 / $2,033.90 / $2,033.90	Professional		$2,033.90	$2,033.90	$2,033.90
United Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $243.37 / $886.57	Professional		$243.37	$243.37	$886.57