Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.31 / $438.31 / $2,755.01	Facility		$438.31	$438.31	$2,755.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $438.31 / $2,755.01	Professional		$345.84	$438.31	$2,755.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.23 / $384.46 / $1,016.49	Facility		$319.23	$384.46	$1,016.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $441.74 / $441.74 / $888.59	Professional		$441.74	$441.74	$888.59
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,266.94 / $2,951.14	Professional		$100.00	$1,266.94	$2,951.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.21 / $451.71 / $451.71	Facility		$419.21	$451.71	$451.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $383.95 / $465.26	Professional		$383.95	$383.95	$465.26
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $763.89 / $954.86 / $1,145.83	Professional		$763.89	$954.86	$1,145.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $572.91 / $668.40 / $1,451.39	Professional		$572.91	$668.40	$1,451.39
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,939.60 / $4,535.59 / $4,535.59	Facility		$1,939.60	$4,535.59	$4,535.59
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,583.33 / $4,583.33 / $5,960.33	Professional		$4,583.33	$4,583.33	$5,960.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.05 / $811.63 / $954.86	Facility		$235.05	$811.63	$954.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.95 / $451.70 / $827.39	Professional		$383.95	$451.70	$827.39
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,802.26 / $1,802.26 / $1,802.26	Professional		$1,802.26	$1,802.26	$1,802.26
United Facility/Professional Professional Modifier Low / Median / High Price $342.71 / $427.61 / $907.09	Professional		$342.71	$427.61	$907.09