Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.19 / $2,117.00 / $4,662.87	Facility		$870.19	$2,117.00	$4,662.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.46 / $870.19 / $4,008.92	Professional		$645.46	$870.19	$4,008.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $87.06 / $103.91	Facility		$73.58	$87.06	$103.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.14 / $755.62 / $1,720.43	Professional		$294.14	$755.62	$1,720.43
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $269.48 / $1,284.67	Facility		$59.40	$269.48	$1,284.67
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $164.79 / $243.42 / $611.92	Professional		$164.79	$243.42	$611.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,011.73 / $1,398.47 / $2,861.06	Facility		$1,011.73	$1,398.47	$2,861.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $952.20 / $2,479.96	Professional		$367.90	$952.20	$2,479.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $169.38 / $910.14 / $1,228.69	Professional		$169.38	$910.14	$1,228.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $688.33 / $907.97 / $1,588.62	Professional		$688.33	$907.97	$1,588.62
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,635.27 / $3,668.47 / $3,668.47	Facility		$1,635.27	$3,668.47	$3,668.47
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,681.14 / $4,681.14 / $5,697.75	Professional		$4,681.14	$4,681.14	$5,697.75
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 $313.87 / $908.59 / $1,470.07	Facility		$313.87	$908.59	$1,470.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $969.07 / $2,261.80	Professional		$367.90	$969.07	$2,261.80
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,306.82 / $2,306.82 / $2,306.82	Professional		$2,306.82	$2,306.82	$2,306.82
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $254.07 / $437.32 / $1,012.32	Professional		$254.07	$437.32	$1,012.32
United Facility/Professional Facility Modifier Low / Median / High Price $570.02 / $570.02 / $954.74	Facility		$570.02	$570.02	$954.74
United Facility/Professional Professional Modifier Low / Median / High Price $466.21 / $870.21 / $2,007.33	Professional		$466.21	$870.21	$2,007.33