Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,826.00 / $3,183.05	Facility		$475.00	$1,826.00	$3,183.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.96 / $475.00 / $2,298.57	Professional		$351.96	$475.00	$2,298.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $244.00 / $2,165.00 / $6,337.00	Facility		$244.00	$2,165.00	$6,337.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.83 / $734.09 / $1,266.46	Professional		$393.83	$734.09	$1,266.46
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $100.00 / $4,442.37	Facility		$58.70	$100.00	$4,442.37
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $336.00 / $517.48 / $1,251.52	Professional		$336.00	$517.48	$1,251.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.13 / $636.44 / $3,605.00	Facility		$294.13	$636.44	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.80 / $572.89 / $1,184.54	Professional		$323.80	$572.89	$1,184.54
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $338.30 / $432.56 / $583.96	Professional		$338.30	$432.56	$583.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.52 / $425.80 / $801.00	Professional		$331.52	$425.80	$801.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,029.20 / $3,029.20 / $3,321.04	Facility		$3,029.20	$3,029.20	$3,321.04
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,008.41 / $3,166.97 / $3,166.97	Professional		$3,008.41	$3,166.97	$3,166.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $265.24	Professional		$32.34	$32.34	$265.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $363.82 / $546.64 / $929.75	Facility		$363.82	$546.64	$929.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $326.73 / $658.80 / $1,109.70	Professional		$326.73	$658.80	$1,109.70
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,322.64 / $1,322.64 / $1,322.64	Professional		$1,322.64	$1,322.64	$1,322.64
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.85 / $473.62 / $575.11	Professional		$349.85	$473.62	$575.11
United Facility/Professional Facility Modifier Low / Median / High Price $404.27 / $404.27 / $404.27	Facility		$404.27	$404.27	$404.27
United Facility/Professional Professional Modifier Low / Median / High Price $341.43 / $477.59 / $1,008.69	Professional		$341.43	$477.59	$1,008.69