Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $586.83 / $2,047.50 / $4,603.43	Facility		$586.83	$2,047.50	$4,603.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.33 / $586.83 / $4,349.89	Professional		$385.33	$586.83	$4,349.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $330.86 / $1,215.13 / $3,335.15	Facility		$330.86	$1,215.13	$3,335.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.81 / $865.60 / $2,049.69	Professional		$282.81	$865.60	$2,049.69
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $933.27 / $6,341.97	Facility		$59.40	$933.27	$6,341.97
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $321.69 / $459.56 / $1,155.29	Professional		$321.69	$459.56	$1,155.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.80 / $1,160.89 / $2,264.61	Facility		$487.80	$1,160.89	$2,264.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.02 / $581.89 / $2,878.10	Professional		$362.02	$581.89	$2,878.10
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $676.50 / $913.28	Professional		$541.20	$676.50	$913.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $777.98 / $1,488.30	Professional		$608.85	$777.98	$1,488.30
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,177.10 / $3,213.38 / $3,213.38	Facility		$1,177.10	$3,213.38	$3,213.38
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,382.50 / $3,382.50 / $5,073.75	Professional		$3,382.50	$3,382.50	$5,073.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.20 / $832.10 / $1,944.05	Facility		$541.20	$832.10	$1,944.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $380.27 / $777.98 / $1,913.94	Professional		$380.27	$777.98	$1,913.94
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,374.51 / $2,374.51 / $2,374.51	Professional		$2,374.51	$2,374.51	$2,374.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $541.20 / $608.85 / $920.04	Professional		$541.20	$608.85	$920.04
United Facility/Professional Professional Modifier Low / Median / High Price $284.13 / $296.95 / $1,357.74	Professional		$284.13	$296.95	$1,357.74