Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,862.09 / $3,090.30	Facility		$562.34	$1,862.09	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $512.86	Professional		$295.12	$371.54	$512.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,122.02 / $2,290.87	Facility		$588.84	$1,122.02	$2,290.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $251.19 / $501.19	Professional		$181.97	$251.19	$501.19
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $1,047.13 / $4,365.16	Facility		$69.18	$1,047.13	$4,365.16
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $891.25	Professional		$263.03	$346.74	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $758.58 / $1,584.89	Facility		$302.00	$758.58	$1,584.89
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $602.56	Professional		$446.68	$537.03	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $501.19 / $794.33	Professional		$407.38	$501.19	$794.33
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $3,388.44	Professional		$2,238.72	$3,388.44	$3,388.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $537.03 / $1,174.90	Facility		$354.81	$537.03	$1,174.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $501.19 / $645.65	Professional		$446.68	$501.19	$645.65
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $446.68 / $446.68	Facility		$190.55	$446.68	$446.68
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $870.96	Professional		$190.55	$190.55	$870.96