Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $47.95 / $52.52	Facility		$47.95	$47.95	$52.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $68.70 / $1,324.49	Professional		$52.52	$68.70	$1,324.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.47 / $1,608.14 / $5,104.72	Facility		$83.47	$1,608.14	$5,104.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $83.47 / $1,532.30	Professional		$76.27	$83.47	$1,532.30
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $80.50 / $100.00 / $355.46	Facility		$80.50	$100.00	$355.46
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $81.93 / $1,527.73 / $4,308.29	Professional		$81.93	$1,527.73	$4,308.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $102.00 / $125.77	Professional		$102.00	$102.00	$125.77
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $1,286.51 / $1,608.14 / $1,929.77	Professional		$1,286.51	$1,608.14	$1,929.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $964.88 / $1,125.70 / $2,444.37	Professional		$964.88	$1,125.70	$2,444.37
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,768.02 / $7,674.31 / $7,674.31	Facility		$2,768.02	$7,674.31	$7,674.31
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $8,311.57 / $8,311.57 / $12,061.05	Professional		$8,311.57	$8,311.57	$12,061.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $1,608.14 / $1,688.55	Facility		$120.00	$1,608.14	$1,688.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $120.00 / $1,530.65	Professional		$102.00	$120.00	$1,530.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $286.13 / $286.13 / $286.13	Professional		$286.13	$286.13	$286.13
United Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $74.88 / $408.40	Professional		$68.50	$74.88	$408.40