Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $900.30 / $1,001.79 / $1,001.79	Facility		$900.30	$1,001.79	$1,001.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.89 / $1,114.89 / $1,638.98	Professional		$885.89	$1,114.89	$1,638.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.58 / $1,278.58 / $5,786.42	Facility		$1,278.58	$1,278.58	$5,786.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.99 / $1,307.92 / $2,417.63	Professional		$946.99	$1,307.92	$2,417.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $732.59 / $1,069.78 / $2,404.09	Professional		$732.59	$1,069.78	$2,404.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,336.88 / $1,336.88 / $1,336.88	Facility		$1,336.88	$1,336.88	$1,336.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $972.53 / $1,276.65 / $2,550.89	Professional		$972.53	$1,276.65	$2,550.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $821.00 / $1,280.35 / $1,728.49	Professional		$821.00	$1,280.35	$1,728.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,036.33 / $1,292.99 / $2,228.98	Professional		$1,036.33	$1,292.99	$2,228.98
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,699.48 / $5,237.81 / $5,661.86	Facility		$2,699.48	$5,237.81	$5,661.86
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $7,372.15 / $8,114.99 / $9,396.15	Professional		$7,372.15	$8,114.99	$9,396.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,052.21 / $1,404.14 / $1,991.92	Facility		$1,052.21	$1,404.14	$1,991.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $982.37 / $1,441.50 / $2,908.08	Professional		$982.37	$1,441.50	$2,908.08
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,039.55 / $3,039.55 / $3,039.55	Professional		$3,039.55	$3,039.55	$3,039.55
United Facility/Professional Professional Modifier Low / Median / High Price $745.64 / $1,006.08 / $1,915.66	Professional		$745.64	$1,006.08	$1,915.66