Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $650.00 / $675.40 / $5,666.77	Facility		$650.00	$675.40	$5,666.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $540.32 / $650.00 / $1,756.04	Professional		$540.32	$650.00	$1,756.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.06 / $1,213.15 / $3,329.72	Facility		$316.06	$1,213.15	$3,329.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.16 / $766.00 / $1,813.85	Professional		$270.16	$766.00	$1,813.85
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $488.31 / $1,904.63	Facility		$92.60	$488.31	$1,904.63
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $293.58 / $419.42 / $1,546.63	Professional		$293.58	$419.42	$1,546.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.01 / $1,167.77 / $2,260.90	Facility		$439.01	$1,167.77	$2,260.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.64 / $448.89 / $1,963.38	Professional		$350.64	$448.89	$1,963.38
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $515.70 / $675.40 / $911.79	Professional		$515.70	$675.40	$911.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $607.86 / $776.71 / $1,317.03	Professional		$607.86	$776.71	$1,317.03
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,175.20 / $3,208.15 / $3,208.15	Facility		$1,175.20	$3,208.15	$3,208.15
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,377.00 / $3,377.00 / $5,065.50	Professional		$3,377.00	$3,377.00	$5,065.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $810.49 / $810.49 / $810.49	Professional		$810.49	$810.49	$810.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $540.32 / $869.24 / $1,940.86	Facility		$540.32	$869.24	$1,940.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $383.79 / $776.71 / $1,452.74	Professional		$383.79	$776.71	$1,452.74
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,370.65 / $2,370.65 / $2,370.65	Professional		$2,370.65	$2,370.65	$2,370.65
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $526.01 / $607.86 / $876.69	Professional		$526.01	$607.86	$876.69
United Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $290.81 / $1,491.28	Professional		$271.42	$290.81	$1,491.28