Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.87 / $490.87 / $2,727.52	Facility		$490.87	$490.87	$2,727.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.10 / $490.87 / $2,727.52	Professional		$357.10	$490.87	$2,727.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.76 / $1,364.50 / $3,000.79	Facility		$372.76	$1,364.50	$3,000.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.02 / $511.43 / $1,037.22	Professional		$314.02	$511.43	$1,037.22
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,119.18 / $1,998.53	Facility		$97.00	$1,119.18	$1,998.53
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,254.31 / $2,921.68	Professional		$100.00	$1,254.31	$2,921.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $469.48 / $510.69 / $510.69	Facility		$469.48	$510.69	$510.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $434.09 / $526.01	Professional		$434.09	$434.09	$526.01
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $756.27 / $945.34 / $1,134.41	Professional		$756.27	$945.34	$1,134.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $567.20 / $661.74 / $1,436.92	Professional		$567.20	$661.74	$1,436.92
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,072.19 / $4,490.37 / $4,490.37	Facility		$2,072.19	$4,490.37	$4,490.37
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,776.42 / $4,776.42 / $6,129.68	Professional		$4,776.42	$4,776.42	$6,129.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,920.85 / $1,920.85 / $1,920.85	Professional		$1,920.85	$1,920.85	$1,920.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.23 / $850.81 / $958.11	Facility		$263.23	$850.81	$958.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $434.09 / $510.69 / $904.85	Professional		$434.09	$510.69	$904.85
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,784.28 / $1,784.28 / $1,784.28	Professional		$1,784.28	$1,784.28	$1,784.28
United Facility/Professional Professional Modifier Low / Median / High Price $388.00 / $471.62 / $852.29	Professional		$388.00	$471.62	$852.29