Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $588.84 / $3,311.31	Facility		$512.86	$588.84	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $794.33 / $3,162.28	Professional		$512.86	$794.33	$3,162.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $354.81	Facility		$60.26	$77.62	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $3,715.35	Professional		$630.96	$1,000.00	$3,715.35
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $87.10 / $3,162.28	Facility		$38.90	$87.10	$3,162.28
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $2,137.96 / $3,090.30	Professional		$831.76	$2,137.96	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $2,398.83	Professional		$1,047.13	$1,230.27	$2,398.83
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $3,715.35	Facility		$1,819.70	$3,715.35	$3,715.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $1,122.02	Professional		$112.20	$112.20	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $812.83 / $1,548.82	Facility		$724.44	$812.83	$1,548.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $776.25	Professional		$295.12	$295.12	$776.25
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,000.00 / $1,548.82	Professional		$616.60	$1,000.00	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $1,258.93 / $2,691.53	Professional		$512.86	$1,258.93	$2,691.53