Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $955.93 / $955.93 / $5,015.39	Facility		$955.93	$955.93	$5,015.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.00 / $955.93 / $5,015.39	Professional		$663.00	$955.93	$5,015.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $361.80 / $1,401.04 / $3,845.40	Facility		$361.80	$1,401.04	$3,845.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $321.36 / $1,045.20	Professional		$94.87	$321.36	$1,045.20
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $92.60 / $563.94 / $2,199.60	Facility		$92.60	$563.94	$2,199.60
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $404.21 / $577.44 / $1,451.63	Professional		$404.21	$577.44	$1,451.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.93 / $1,348.62 / $2,611.05	Facility		$501.93	$1,348.62	$2,611.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.28 / $670.86 / $2,111.76	Professional		$415.28	$670.86	$2,111.76
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $599.94 / $780.00 / $1,053.00	Professional		$599.94	$780.00	$1,053.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $702.00 / $897.00 / $1,700.40	Professional		$702.00	$897.00	$1,700.40
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,357.20 / $3,705.00 / $3,705.00	Facility		$1,357.20	$3,705.00	$3,705.00
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $3,900.00 / $3,900.00 / $5,850.00	Professional		$3,900.00	$3,900.00	$5,850.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.00 / $1,013.29 / $2,241.44	Facility		$624.00	$1,013.29	$2,241.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $518.22 / $858.00 / $1,560.00	Professional		$518.22	$858.00	$1,560.00
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,737.80 / $2,737.80 / $2,737.80	Professional		$2,737.80	$2,737.80	$2,737.80
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $611.94 / $702.00 / $1,019.90	Professional		$611.94	$702.00	$1,019.90
United Facility/Professional Professional Modifier Low / Median / High Price $327.60 / $340.84 / $2,006.94	Professional		$327.60	$340.84	$2,006.94