Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,454.71 / $22,908.68	Facility		$741.31	$2,454.71	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $4,897.79	Professional		$616.60	$812.83	$4,897.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $1,584.89	Facility		$269.15	$316.23	$1,584.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $2,137.96	Professional		$707.95	$933.25	$2,137.96
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $954.99 / $2,187.76	Facility		$69.18	$954.99	$2,187.76
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $2,187.76	Professional		$645.65	$954.99	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,071.52 / $3,311.31	Facility		$331.13	$1,071.52	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,905.46	Professional		$630.96	$891.25	$1,905.46
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,023.29 / $1,380.38	Professional		$602.56	$1,023.29	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,905.46	Professional		$794.33	$1,023.29	$1,905.46
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $6,606.93	Professional		$4,786.30	$6,606.93	$6,606.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $295.12 / $741.31	Professional		$32.36	$295.12	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,621.81	Facility		$724.44	$1,000.00	$1,621.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,905.46	Professional		$645.65	$891.25	$1,905.46
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,621.81	Professional		$831.76	$1,122.02	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $1,778.28	Facility		$1,096.48	$1,348.96	$1,778.28
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $933.25 / $1,905.46	Professional		$489.78	$933.25	$1,905.46