Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $819.04 / $951.50	Facility		$422.89	$819.04	$951.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $427.12 / $707.66	Professional		$422.89	$427.12	$707.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.31 / $675.48 / $1,514.20	Facility		$431.31	$675.48	$1,514.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.52 / $422.89 / $960.80	Professional		$409.52	$422.89	$960.80
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.40 / $100.00 / $828.12	Facility		$77.40	$100.00	$828.12
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $430.87 / $430.87 / $960.06	Professional		$430.87	$430.87	$960.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.96 / $398.96 / $422.89	Facility		$398.96	$398.96	$422.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $529.26	Professional		$422.89	$422.89	$529.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $399.87 / $439.86 / $539.83	Professional		$399.87	$439.86	$539.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $507.47 / $790.80	Professional		$380.60	$507.47	$790.80
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $703.90 / $2,045.05 / $2,114.44	Facility		$703.90	$2,045.05	$2,114.44
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,968.33 / $1,968.33 / $1,968.33	Professional		$1,968.33	$1,968.33	$1,968.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $819.73 / $819.73	Professional		$60.00	$819.73	$819.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.89 / $442.11 / $719.89	Facility		$422.89	$442.11	$719.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $550.57	Professional		$422.89	$422.89	$550.57
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $480.78 / $480.78 / $480.78	Professional		$480.78	$480.78	$480.78
United Facility/Professional Professional Modifier Low / Median / High Price $422.89 / $422.89 / $828.12	Professional		$422.89	$422.89	$828.12