Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $306.00 / $306.00 / $5,787.00	Facility		$306.00	$306.00	$5,787.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $350.00 / $2,340.00	Professional		$306.00	$350.00	$2,340.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $417.46 / $1,616.58 / $4,437.00	Facility		$417.46	$1,616.58	$4,437.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $409.36 / $1,293.73	Professional		$360.00	$409.36	$1,293.73
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $650.70 / $2,538.00	Facility		$92.60	$650.70	$2,538.00
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $348.27 / $497.53 / $1,256.31	Professional		$348.27	$497.53	$1,256.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $1,556.10 / $3,012.75	Facility		$579.15	$1,556.10	$3,012.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.19 / $774.09 / $2,436.27	Professional		$479.19	$774.09	$2,436.27
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $990.00 / $1,215.00	Professional		$900.00	$990.00	$1,215.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $810.00 / $1,035.00 / $1,980.00	Professional		$810.00	$1,035.00	$1,980.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,566.00 / $4,275.00 / $4,275.00	Facility		$1,566.00	$4,275.00	$4,275.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,500.00 / $4,500.00 / $6,750.00	Professional		$4,500.00	$4,500.00	$6,750.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $459.40 / $1,080.00 / $2,586.29	Facility		$459.40	$1,080.00	$2,586.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $596.24 / $1,035.00 / $1,800.00	Professional		$596.24	$1,035.00	$1,800.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $3,159.00 / $3,159.00 / $3,159.00	Professional		$3,159.00	$3,159.00	$3,159.00
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $527.25 / $720.00 / $900.00	Professional		$527.25	$720.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.00 / $405.00 / $2,466.44	Professional		$378.00	$405.00	$2,466.44