Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $450.14 / $3,137.31 / $7,102.17	Facility		$450.14	$3,137.31	$7,102.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.14 / $450.14 / $4,713.72	Professional		$328.14	$450.14	$4,713.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $327.85 / $394.85 / $1,043.95	Facility		$327.85	$394.85	$1,043.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.66 / $453.66 / $929.36	Professional		$453.66	$453.66	$929.36
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,083.84 / $2,524.64	Professional		$100.00	$1,083.84	$2,524.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.43 / $666.06 / $666.06	Facility		$430.43	$666.06	$666.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $566.15 / $686.04	Professional		$566.15	$566.15	$686.04
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $653.50 / $816.88 / $980.26	Professional		$653.50	$816.88	$980.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $490.13 / $571.82 / $1,241.66	Professional		$490.13	$571.82	$1,241.66
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,028.60 / $3,997.24 / $3,997.24	Facility		$2,028.60	$3,997.24	$3,997.24
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,976.56 / $4,976.56 / $5,621.18	Professional		$4,976.56	$4,976.56	$5,621.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $241.39 / $722.20 / $833.14	Facility		$241.39	$722.20	$833.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $566.15 / $666.06 / $816.88	Professional		$566.15	$666.06	$816.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,541.80 / $1,541.80 / $1,541.80	Professional		$1,541.80	$1,541.80	$1,541.80
United Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $394.81 / $790.40	Professional		$351.96	$394.81	$790.40