Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $511.79 / $1,859.61 / $4,886.80	Facility		$511.79	$1,859.61	$4,886.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.37 / $511.79 / $4,886.80	Professional		$391.37	$511.79	$4,886.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,365.11 / $3,746.80	Facility		$353.00	$1,365.11	$3,746.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.00 / $557.46 / $1,356.51	Professional		$304.00	$557.46	$1,356.51
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.30 / $794.77 / $5,400.84	Facility		$59.30	$794.77	$5,400.84
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $391.37 / $1,060.88	Professional		$273.95	$391.37	$1,060.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.06 / $1,304.16 / $2,544.10	Facility		$489.06	$1,304.16	$2,544.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.88 / $554.34 / $2,458.98	Professional		$324.88	$554.34	$2,458.98
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $836.00 / $1,026.00	Professional		$760.00	$836.00	$1,026.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $684.00 / $874.00 / $1,545.95	Professional		$684.00	$874.00	$1,545.95
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,322.40 / $3,610.00 / $3,610.00	Facility		$1,322.40	$3,610.00	$3,610.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,800.00 / $3,800.00 / $5,700.00	Professional		$3,800.00	$3,800.00	$5,700.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $521.79 / $912.00 / $2,180.02	Facility		$521.79	$912.00	$2,180.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $329.41 / $836.00 / $1,520.00	Professional		$329.41	$836.00	$1,520.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,667.60 / $2,667.60 / $2,667.60	Professional		$2,667.60	$2,667.60	$2,667.60
United Facility/Professional Professional Modifier Low / Median / High Price $252.88 / $319.20 / $1,678.08	Professional		$252.88	$319.20	$1,678.08