Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $475.00 / $1,850.00 / $3,300.00	Facility		$475.00	$1,850.00	$3,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $475.00 / $1,782.85	Professional		$370.50	$475.00	$1,782.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $260.00 / $614.00 / $2,121.51	Facility		$260.00	$614.00	$2,121.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.04 / $1,292.54 / $2,183.36	Professional		$401.04	$1,292.54	$2,183.36
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.90 / $439.27 / $3,510.98	Facility		$59.90	$439.27	$3,510.98
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $361.25 / $553.53 / $1,290.43	Professional		$361.25	$553.53	$1,290.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.19 / $663.14 / $3,605.00	Facility		$319.19	$663.14	$3,605.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $579.77 / $1,360.41	Professional		$296.39	$579.77	$1,360.41
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $401.18 / $500.76 / $676.03	Professional		$401.18	$500.76	$676.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.50 / $516.66 / $975.74	Professional		$387.50	$516.66	$975.74
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $818.34 / $2,647.01 / $2,647.01	Facility		$818.34	$2,647.01	$2,647.01
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,369.29 / $2,369.29 / $3,270.00	Professional		$2,369.29	$2,369.29	$3,270.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $262.02	Professional		$32.34	$32.34	$262.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.58 / $522.67 / $836.52	Facility		$380.58	$522.67	$836.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.44 / $678.30 / $1,286.78	Professional		$314.44	$678.30	$1,286.78
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,577.88 / $1,577.88 / $1,577.88	Professional		$1,577.88	$1,577.88	$1,577.88
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $404.95 / $556.80 / $682.00	Professional		$404.95	$556.80	$682.00
United Facility/Professional Facility Modifier Low / Median / High Price $241.74 / $241.74 / $434.52	Facility		$241.74	$241.74	$434.52
United Facility/Professional Professional Modifier Low / Median / High Price $385.09 / $517.98 / $1,205.05	Professional		$385.09	$517.98	$1,205.05