Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.76 / $1,826.36 / $3,158.84	Facility		$389.76	$1,826.36	$3,158.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.11 / $491.09 / $1,993.98	Professional		$373.11	$491.09	$1,993.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $431.36 / $931.00 / $23,591.00	Facility		$431.36	$931.00	$23,591.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $431.36 / $540.25 / $1,093.11	Professional		$431.36	$540.25	$1,093.11
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $79.50 / $91.20 / $33,313.00	Facility		$79.50	$91.20	$33,313.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $338.16 / $486.28 / $1,177.86	Professional		$338.16	$486.28	$1,177.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,794.00 / $38,137.00 / $53,438.00	Facility		$13,794.00	$38,137.00	$53,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.19 / $496.03 / $1,139.07	Professional		$357.19	$496.03	$1,139.07
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $284.32 / $486.54 / $656.83	Professional		$284.32	$486.54	$656.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.15 / $511.65 / $986.13	Professional		$397.15	$511.65	$986.13
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,149.44 / $3,935.04 / $3,983.52	Facility		$3,149.44	$3,935.04	$3,983.52
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $5,089.00 / $14,247.44 / $14,817.33	Professional		$5,089.00	$14,247.44	$14,817.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $406.65 / $550.51 / $959.85	Facility		$406.65	$550.51	$959.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $358.23 / $508.20 / $1,108.27	Professional		$358.23	$508.20	$1,108.27
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $1,390.97 / $1,390.97 / $1,390.97	Professional		$1,390.97	$1,390.97	$1,390.97
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $393.08 / $540.49 / $693.31	Professional		$393.08	$540.49	$693.31
United Facility/Professional Professional Modifier Low / Median / High Price $314.70 / $548.55 / $1,253.29	Professional		$314.70	$548.55	$1,253.29