Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,019.95 / $5,011.87	Facility		$1,023.29	$3,019.95	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $602.56 / $831.76	Professional		$457.09	$602.56	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $3,801.89	Facility		$1,862.09	$3,715.35	$3,801.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,621.81	Professional		$741.31	$1,047.13	$1,621.81
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,659.59 / $2,089.30	Facility		$537.03	$1,659.59	$2,089.30
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,479.11	Professional		$436.52	$575.44	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $954.99 / $2,398.83	Facility		$501.19	$954.99	$2,398.83
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,000.00	Professional		$741.31	$891.25	$1,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $812.83 / $1,288.25	Professional		$660.69	$812.83	$1,288.25
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,623.41 / $5,623.41	Professional		$3,715.35	$5,623.41	$5,623.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $891.25 / $1,862.09	Facility		$588.84	$891.25	$1,862.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,071.52	Professional		$741.31	$812.83	$1,071.52
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $741.31 / $741.31	Facility		$309.03	$741.31	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $1,412.54	Professional		$309.03	$309.03	$1,412.54