Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.98 / $1,294.80 / $3,432.00	Facility		$486.98	$1,294.80	$3,432.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $417.41 / $1,279.20 / $1,326.00	Professional		$417.41	$1,279.20	$1,326.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.23 / $1,016.92 / $1,659.19	Facility		$481.23	$1,016.92	$1,659.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.31 / $1,326.00 / $1,817.18	Professional		$314.31	$1,326.00	$1,817.18
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $100.00 / $603.48	Facility		$77.20	$100.00	$603.48
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $377.17 / $377.17 / $812.01	Professional		$377.17	$377.17	$812.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Facility		$1,326.00	$1,326.00	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $1,326.00	Professional		$1,326.00	$1,326.00	$1,326.00
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $353.69 / $353.69 / $477.48	Professional		$353.69	$353.69	$477.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $601.00 / $1,049.00	Professional		$375.00	$601.00	$1,049.00
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $460.59 / $1,665.81 / $1,850.90	Facility		$460.59	$1,665.81	$1,850.90
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $1,592.50 / $3,276.00 / $6,162.00	Professional		$1,592.50	$3,276.00	$6,162.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $768.44 / $768.44	Professional		$60.00	$768.44	$768.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $198.21 / $370.18 / $1,326.00	Facility		$198.21	$370.18	$1,326.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $436.54 / $1,326.00 / $1,326.00	Professional		$436.54	$1,326.00	$1,326.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $622.16 / $622.16 / $622.16	Professional		$622.16	$622.16	$622.16
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $349.23 / $454.00 / $523.85	Professional		$349.23	$454.00	$523.85
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,300.00 / $2,502.76	Professional		$1,300.00	$1,300.00	$2,502.76