Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,230.27 / $2,089.30	Facility		$416.87	$1,230.27	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $457.09 / $602.56	Professional		$194.98	$457.09	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,479.11 / $3,019.95	Facility		$776.25	$1,479.11	$3,019.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $537.03	Professional		$181.97	$251.19	$537.03
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $707.95 / $2,884.03	Facility		$69.18	$707.95	$2,884.03
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,202.26	Professional		$354.81	$457.09	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,000.00 / $2,137.96	Facility		$239.88	$1,000.00	$2,137.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $812.83	Professional		$602.56	$724.44	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $1,047.13	Professional		$537.03	$660.69	$1,047.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,466.84 / $4,466.84	Professional		$3,019.95	$4,466.84	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $724.44 / $1,584.89	Facility		$354.81	$724.44	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Professional		$602.56	$602.56	$831.76
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $602.56 / $602.56	Facility		$251.19	$602.56	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $691.83	Professional		$125.89	$138.04	$691.83