Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.65 / $510.65 / $2,748.48	Facility		$510.65	$510.65	$2,748.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.65 / $593.78 / $2,748.48	Professional		$510.65	$593.78	$2,748.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.85 / $650.04 / $2,406.31	Facility		$60.85	$650.04	$2,406.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.49 / $730.18 / $2,274.17	Professional		$608.49	$730.18	$2,274.17
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $99.00 / $2,663.15	Facility		$64.51	$99.00	$2,663.15
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,613.06 / $2,951.02	Professional		$100.00	$1,613.06	$2,951.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $293.45 / $293.45	Professional		$293.45	$293.45	$293.45
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $907.45 / $907.45 / $907.45	Professional		$907.45	$907.45	$907.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.25 / $1,213.23 / $2,790.43	Professional		$1,031.25	$1,213.23	$2,790.43
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,603.62 / $3,758.09	Facility		$100.00	$1,603.62	$3,758.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $731.40 / $815.13 / $1,548.36	Facility		$731.40	$815.13	$1,548.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.45 / $758.06 / $758.06	Professional		$293.45	$758.06	$758.06
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,797.99 / $1,797.99 / $1,797.99	Professional		$1,797.99	$1,797.99	$1,797.99
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $606.45 / $907.45 / $1,542.67	Professional		$606.45	$907.45	$1,542.67
United Facility/Professional Professional Modifier Low / Median / High Price $517.72 / $1,148.77 / $2,424.08	Professional		$517.72	$1,148.77	$2,424.08