Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $2,961.13 / $5,328.31	Facility		$719.07	$2,961.13	$5,328.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $490.29 / $1,656.21	Professional		$448.43	$490.29	$1,656.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $312.00 / $1,033.13 / $2,947.70	Facility		$312.00	$1,033.13	$2,947.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.16 / $2,756.02 / $5,789.50	Professional		$239.16	$2,756.02	$5,789.50
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $432.29 / $1,686.11	Facility		$92.60	$432.29	$1,686.11
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $272.05 / $388.64 / $971.79	Professional		$272.05	$388.64	$971.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.98 / $858.89 / $2,024.81	Facility		$392.98	$858.89	$2,024.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.89 / $636.94 / $1,250.00	Professional		$324.89	$636.94	$1,250.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $807.18	Professional		$597.91	$597.91	$807.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $657.70 / $1,315.40	Professional		$478.33	$657.70	$1,315.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $3,191.10 / $3,191.10 / $3,191.10	Facility		$3,191.10	$3,191.10	$3,191.10
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $2,989.55 / $2,989.55 / $4,484.33	Professional		$2,989.55	$2,989.55	$4,484.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $298.95 / $298.95 / $418.53	Professional		$298.95	$298.95	$418.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $508.22 / $717.49 / $1,427.46	Facility		$508.22	$717.49	$1,427.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $351.63 / $639.86 / $1,618.66	Professional		$351.63	$639.86	$1,618.66
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,098.66 / $2,098.66 / $2,098.66	Professional		$2,098.66	$2,098.66	$2,098.66
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $478.33 / $597.91 / $1,016.45	Professional		$478.33	$597.91	$1,016.45
United Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $251.12 / $1,077.43	Professional		$39.79	$251.12	$1,077.43